Current Issue

Increasing resistance of Shigella to ciprofloxacin prompts new CDC guidance

The agency has found an increase in Shigella isolates in the U.S. with minimum inhibitory concentration values between 0.12 and 1 µg/mL for ciprofloxacin.

Doctors split time nearly evenly between patients, computer duties

Doctors spent 3.08 hours for face-to-face visits and 3.17 hours for computer activities related to patient care.

MKSAP Quiz: 1-week history of recurrent episodes of facial pain

A 36-year-old woman with relapsing-remitting MS is evaluated for a 1-week history of recurrent episodes of facial pain that are 1 to 3 seconds in duration and occur spontaneously dozens of times throughout the day. The pain is sharp, severe, and located in the right infraorbital area. During this same period, she has developed worsening bilateral lower extremity weakness and urinary incontinence. After a physical exam and lab studies, what is the most likely cause of the facial pain?

Study suggests less frequent retinopathy screening in low-risk patients with type 1 diabetes

Annual screening led to an average of 18.4 exams up to time of detection of proliferative diabetic retinopathy and clinically significant macular edema, compared to 7.7 exams with an individualized schedule, for an average reduction of 10.7 exams per patient (58% fewer).

ACP's Center for Patient Partnership in Healthcare releases new blood clot resources

New ACP resources include a web-based assessment for determining personal blood clot risk, a self-management guidebook, patient information sheets, and an office poster.

The pitfalls of prior authorization for prescription drugs

Yul Ejnes, MD, MACP, a practicing internist in Cranston, R.I., and a member of ACP Internist's editorial board, continues his monthly column at KevinMD, writing about frustrations with prior authorization.

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.

Physician editor: Daisy Smith, MD, FACP