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 December 16, 2014
Patients on tramadol may be more likely to be hospitalized for hypoglycemia
Patients who began taking tramadol were significantly more likely to be hospitalized for hypoglycemia than those prescribed codeine, a recent study found. More...
Daily aspirin more effective than alternate-day aspirin as primary prevention of cardiovascular disease, colon cancer in elderly women
Taking aspirin on alternate days is ineffective in preventing cancer or cardiovascular disease in most women, a new analysis of Women's Health Study data found. For many women 65 years of age or older, the benefits of daily aspirin for primary prevention of colon cancer and cardiovascular disease still outweigh the associated bleeding risk. More...
MKSAP Quiz: abdominal pain of several months' duration
A 66-year-old man is evaluated for vague abdominal pain of several months' duration and a 10-kg (22-lb) weight loss. He drinks alcohol socially but does not smoke. The patient is otherwise well, has good performance status, and takes no medications. Following a physical exam, lab studies, and a CT scan, what is the most appropriate initial management of this patient? More...
Emphysema on CT may be an important independent risk factor for death
Emphysema found on computed tomography (CT) was associated with an increased risk for mortality among people without airflow obstruction or chronic obstructive pulmonary disease (COPD), a study found. More...
Nighttime gout attack risk may be twice as much as in daytime
The risk of acute gout attacks was more than twice as high during the night or early morning hours than the day, even among those who did not consume alcohol and had a low purine intake during the 24 hours prior to the attack, a study found. More...
Clinicians needed for survey on transitional care services
An ongoing research study at the University of Pennsylvania seeks to learn from clinicians or clinical leaders who are primarily responsible for transitional care services in health systems and communities throughout the United States. More...
Survey about primary care and the elderly bereaved
ACP is making available to its members a survey sponsored by the Massachusetts School of Professional Psychology (MSPP). More...
Editor's Note: ACP Internist Weekly's Cartoon Caption Contest will return in January 2015.
Physician editor: Daisy Smith, MD, FACP
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A 66-year-old man is evaluated for vague abdominal pain of several months' duration and a 10-kg (22-lb) weight loss. He drinks alcohol socially but does not smoke. The patient is otherwise well, has good performance status, and takes no medications. Following a physical exam, lab studies, and a CT scan, what is the most appropriate initial management of this patient?
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