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MKSAP Quiz: 4-month history of progressive exertional dyspnea

A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022

Nirmatrelvir/ritonavir rarely leads to rebound, doesn't help average-risk patients, studies find

A retrospective analysis found that symptom rebound occurred in less than 1% of high-risk COVID-19 patients treated with nirmatrelvir/ritonavir, while the manufacturer reported that the drug didn't show significant benefit in average-risk patients.
https://immattersacp.org/weekly/archives/2022/06/21/2.htm
21 Jun 2022

OTC birth control pill, naloxone gain approval

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2023/09/otc-birth-control-pill-naloxone-gain-approval.htm
1 Sep 2023

ATS guideline strongly recommends varenicline for smoking cessation

A new clinical practice guideline from the American Thoracic Society (ATS) made five strong recommendations and two conditional recommendations regarding medications to treat adults with tobacco dependence.
https://immattersacp.org/weekly/archives/2020/07/21/3.htm
21 Jul 2020

Recommendations on avoiding drug-drug interactions, data on recovery after ventilation

A panel of experts offered advice on avoiding drug-drug interactions when prescribing nirmatrelvir-ritonavir for patients with COVID-19, and two studies offered good news about postdischarge outcomes in COVID-19 patients who underwent a tracheostomy.
https://immattersacp.org/weekly/archives/2022/03/01/4.htm
1 Mar 2022

MKSAP Quiz: COPD evaluated during a routine visit

A 66-year-old man with a history of COPD is evaluated during a routine visit. He is able to walk one flight of stairs and one block before he develops dyspnea. He was last treated for two acute exacerbations of COPD within the last year, one of which required hospitalization. Following a physical exam and other tests, what patient characteristics place him at highest risk for a recurrent acute exacerbation?
https://immattersacp.org/weekly/archives/2021/03/09/3.htm
9 Mar 2021

Register now for ACP's Internal Medicine Meeting 2023 precourses

The meeting's 14 precourses, taking place on April 25 and 26 in San Diego, cover a variety of internal medicine topics and provide learners with an opportunity to earn additional CME and MOC credit.
https://immattersacp.org/weekly/archives/2022/10/25/6.htm
25 Oct 2022

MKSAP Quiz: 2-month history of nonproductive cough

A 62-year-old man is evaluated for a 2-month history of nonproductive cough, progressive dyspnea, and fatigue. He reports a 6.8-kg (15-lb) weight loss during this time. He has a 30-pack-year history of smoking. He worked in a navy ship yard 32 years ago. Following a physical exam, chest radiograph, and thoracentesis, what is the most appropriate next step?
https://immattersacp.org/weekly/archives/2020/11/10/3.htm
10 Nov 2020

Guideline addresses viral testing in patients with community-acquired pneumonia

The new American Thoracic Society guideline opposes routine use of nucleic acid-based testing for noninfluenza viral pathogens in outpatients with community-acquired pneumonia but identifies some uses for the tests in inpatients.
https://immattersacp.org/weekly/archives/2021/05/11/4.htm
11 May 2021

New ACP 2022 Internal Medicine Course Recordings available

Learners can stream expert-led sessions covering timely internal medicine topics, with the opportunity to earn CME credit and MOC points at their own pace, on any device.
https://immattersacp.org/weekly/archives/2022/06/28/6.htm
28 Jun 2022

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