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Internal Medicine Meeting 2019 comes home to Philly

This year's Internal Medicine Meeting, held in Philadelphia for the first time since 2009, marks ACP's 100th annual educational gathering.
https://immattersacp.org/archives/2019/03/internal-medicine-meeting-2019-comes-home-to-philly.htm
1 Mar 2019

MKSAP Quiz: 3-year history of dyspnea, cough

A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019

Decision aids integral to shared decision making

When used properly and in the correct situation, decision aids save time and costs by better meeting patient needs and increasing adherence.
https://immattersacp.org/archives/2019/05/decision-aids-integral-to-shared-decision-making.htm
1 May 2019

MKSAP Quiz: Follow-up of progressive dyspnea

A 42-year-old man is evaluated in the office for follow-up of progressive dyspnea of 2 years' duration. He first noted dyspnea with exercise but now has symptoms when walking up a flight of stairs. Pulmonary function tests 2 years ago showed moderate airflow obstruction. He has no significant smoking history but a family history of emphysema. After physical examination and a chest radiograph, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/06/04/3.htm
4 Jun 2019

MKSAP Quiz: Posthospital evaluation for severe COPD

A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 2019

ATS/IDSA release clinical practice guideline on diagnosing, treating CAP

The new American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) guideline updates the 2007 community-acquired pneumonia (CAP) guideline, and changes include a different perspective on macrolides.
https://immattersacp.org/weekly/archives/2019/10/08/4.htm
8 Oct 2019

MKSAP Quiz: 2-week history of difficulty swallowing

A 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant for a 30-pack-year history of smoking. Following a physical exam, lab studies, and chest CT, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/11/mksap-quiz-2-week-history-of-difficulty-swallowing.htm
1 Nov 2019

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2019/11/latest-updates-on-acps-priorities-initiatives.htm
1 Nov 2019

MKSAP Quiz: 6-month history of dyspnea on exertion

A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/11/19/3.htm
19 Nov 2019

Vitamin E acetate linked to vaping-associated lung injury

The total number of reported vaping-associated lung injury cases mounted to 2,172, the CDC found vitamin E acetate in biologic samples for the first time, and authors of an observational study of vaping-related illness emphasized that patients may present with flu-like and abdominal symptoms.
https://immattersacp.org/weekly/archives/2019/11/19/1.htm
19 Nov 2019

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