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

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ACP InternistWeekly

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



In the News for the Week of April 22, 2014




Highlights

Review of anti-flu drugs find little benefit, side effects, flaws in approval processes

Two Cochrane systematic reviews on flu relief drugs, which for the first time considered clinical study reports in addition to published studies, concluded that the medicines didn't have much impact on the course of symptoms. More...

High-energy shock-wave therapy may be effective for shoulder pain, function

High-energy extracorporeal shock-wave therapy (ESWT) is effective for improving pain and shoulder function in chronic calcific shoulder tendinitis and can result in complete resolution of calcifications, a meta-analysis found. More...


Test yourself

MKSAP Quiz: pleuritic left-sided anterior chest pain

A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when leaning forward. He has had a low-grade fever for 3 days, without cough or chills. Medical history is significant for acute pericarditis 7 months ago. Following a physical exam and electrocardiogram, what is the most appropriate management? More...


Infectious disease

Rapid hepatitis C testing identified infections in high-risk population

Rapid testing for hepatitis C virus (HCV) at agencies for people with drug dependence identified many previously unrecognized infections, a recent study found. More...


Anticoagulant therapy

Adding aspirin or NSAID to anticoagulant doubles bleeding risk

Taking aspirin or an NSAID while on anticoagulant therapy significantly increases the risk of bleeding in patients who have had a venous thromboembolism (VTE), a recent study found. More...


Warnings and alerts

Educational update issued on alpha-blockers and cataract surgery

The American Society of Cataract and Refractive Surgery and the American Academy of Ophthalmology recently issued a joint educational update on complications of cataract surgery associated with systemic alpha-blockers. More...


Women's health

ACOG invites public comment on proposed definitions from April 2 to June 4

The American College of Obstetricians and Gynecologists (ACOG) is leading an initiative to standardize language used across organizations in the area of women's health care and is seeking feedback from interested stakeholders in an online Public Comment forum, April 2 to June 4. More...


High-value care

ACP and Consumer Reports hold second annual patient empowerment expo

The second annual patient empowerment expo, co-sponsored by ACP and Consumer Reports Health, was held on Saturday, April 12, in Orlando, Fla. More...


From the College

Governance Committee seeks Regent candidates for 2015

The Governance Committee oversees the process for nominating and electing Masters and Fellows of the College to the Board of Regents (BOR) and is beginning the process of seeking Regents to join the Board in May 2015. More...

On Being a Doctor, volume 4, now available

On Being a Doctor, volume 4, is the latest collection of prose and poetry that vividly captures the feelings and experiences of doctors and patients. More...

The Doctors Company announces 2014 dividend for ACP members

The Doctors Company, the nation's largest physician-owned medical malpractice insurer and the exclusively sponsored carrier for ACP, has announced a $23 million dividend, which is made possible by the excellent claims experience of The Doctors Company's members. More...


Cartoon caption contest

Put words in our mouth

ACP InternistWeekly wants readers to create captions for our new cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program or service. More...


Physician editor: Philip Masters, MD, FACP



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Test yourself

A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when leaning forward. He has had a low-grade fever for 3 days, without cough or chills. Medical history is significant for acute pericarditis 7 months ago. Following a physical exam and electrocardiogram, what is the most appropriate management?

Find the answer

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