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MKSAP Quiz: severe, persistent, burning pain in an assisted-living patient

An 86-year-old woman is evaluated in her assisted-living facility for pain. Four weeks ago, she developed herpetic lesions on her right posterior thorax in a T7 distribution. She was treated with acyclovir, and the lesions healed; however, she has persistent severe burning pain. The pain is so severe that she is unable to leave her bed to attend meals. Following a physical exam, which medication is the most appropriate pharmacologic therapy for this patient's pain?
https://immattersacp.org/weekly/archives/2016/05/17/3.htm
17 May 2016

Inclusivity that compels: He for she

Gender inequity in our society is not exclusive to medicine, and we have a long history of it in the U.S.
https://immattersacp.org/archives/2021/06/inclusivity-that-compels-he-for-she.htm
1 Jun 2021

New Mexico physicians care for migrants

New Mexico's department of health and physician volunteers are managing the medical needs of families with children crossing its border with Mexico, as well as recent immigrants from other states transported there by federal officials.
https://immattersacp.org/archives/2019/10/new-mexico-physicians-care-for-migrants.htm
1 Oct 2019

Time of day associated with ordering, completion of cancer screening

An editorial noted that referrals to screening could be handled by other clinic staff, easing the burden on physicians.
https://immattersacp.org/weekly/archives/2019/05/14/2.htm
14 May 2019

Lessons learned from telemedicine

Although many internists may have felt inexperienced with telemedicine before the pandemic, they could well have been doing it all along.
https://immattersacp.org/archives/2020/10/lessons-learned-from-telemedicine.htm
1 Oct 2020

Pandemic enters new phase with end of PHE

COVID-19 isn't gone, but the end of the U.S. public health emergency does mark some significant changes.
https://immattersacp.org/archives/2023/06/pandemic-enters-new-phase-with-end-of-phe.htm
1 Jun 2023

Advice on surviving a subpoena

Internists may be served legally to produce documents or appear in a trial, and a legal expert offered advice on the best ways to proceed.
https://immattersacp.org/archives/2021/06/advice-on-surviving-a-subpoena.htm
1 Jun 2021

Help elderly patients catch their zzz's

Sleep problems are common, but not inevitable, as people age.
https://immattersacp.org/archives/2021/01/help-elderly-patients-catch-their-zzzs.htm
1 Jan 2021

Fall chapter awardees announced

Chapters honor Members, Fellows, and Masters of ACP who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, or service to their community, their chapter, and ACP. In recognition of their outstanding service, these exceptional individuals received chapter awards.
https://immattersacp.org/weekly/archives/2011/01/11/9.htm
11 Jan 2011

Doctors in training seek ‘bright hope’

The first-ever virtual meeting for the College's Resident/Fellow and Medical Student Members featured a lesson in resiliency during the COVID-19 pandemic, as well as sessions for overcoming early-career failures and working for racial justice.
https://immattersacp.org/archives/2021/07/doctors-in-training-seek-bright-hope.htm
1 Jul 2021

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