American College of Physicians: Internal Medicine — Doctors for Adults ®

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ACP Internist® Weekly

Welcome to this week's issue of ACP Internist Weekly, an update for internists published every Tuesday by the American College of Physicians.



In the News for the Week of February 9, 2016




Depression

ACP issues clinical practice guideline on depression treatment in adults

ACP recommends that clinicians choose between cognitive behavioral therapy or second-generation antidepressants to treat patients with major depressive disorder after discussing treatment effects, adverse effect profiles, cost, accessibility, and preferences with the patient. More...


Fall prevention

Knee buckling associated with increased risk for recurrent falls in older adults

The researchers noted that determining effective treatments for knee instability should be an important priority as clinicians care for aging patients. More...


Test yourself

MKSAP Quiz: Evaluation of risk for cardiovascular disease

A 49-year-old man is evaluated during a routine examination. He is asymptomatic but is concerned about his risk for cardiovascular disease. Medical history is notable for hypertension. He is a nonsmoker, and he works as an executive at a highly successful company. Family history is noncontributory. His only medication is hydrochlorothiazide. Following a physical exam and cholesterol and glucose testing, what is the most appropriate next step in management? More...


Zika virus

Zika virus declared a global emergency

Zika virus is spread to humans through mosquito bites, with additional risk for infection via blood transfusion and sexual activity. Severe disease requiring hospitalization is uncommon; however, the CDC has issued travel alerts. More...


Cardiology

Statins associated with fewer major adverse coronary events, mortality in those with low ankle-brachial index

Clinicians should optimize therapy for people with clear indications for statin therapy, including those with diabetes, an editorial suggested. More...


Ethics

New ethics case study addresses medical professionalism on social media

A case study explores the ethical issues that arise when an internal medicine resident posts a picture of a patient's rash, history, and test results on Facebook under the caption, "What's the diagnosis?" The post doesn't contain any of the patient's personal information such as name or age. More...


Cartoon caption contest

And the winner is …

ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption. More...

Editorial note: ACP Internist Weekly will not publish next week due to the Presidents' Day holiday.


Physician editor: Philip Masters, MD, FACP



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Test yourself

A 49-year-old man is evaluated during a routine examination. He is asymptomatic but is concerned about his risk for cardiovascular disease. Medical history is notable for hypertension. He is a nonsmoker, and he works as an executive at a highly successful company. Family history is noncontributory. His only medication is hydrochlorothiazide. Following a physical exam and cholesterol and glucose testing, what is the most appropriate next step in management?

Find the answer

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