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 January 10, 2017



Breast cancer screening

Potential overdiagnosis may be significantly associated with breast cancer screening

Danish researchers assessed screening programs offering biennial mammography for women ages 50 to 69 years to determine trends in the incidence of advanced and nonadvanced breast cancer tumors. More...

Statins

Statins often not prescribed in younger patients with dyslipidemia, study finds

Patients who had at least one indication for statin therapy were analyzed according to the following groups: LDL cholesterol level of at least 190 mg/dL, diabetes and LDL cholesterol level above 70 mg/dL, and atherosclerotic cardiovascular disease. More...

Test yourself

MKSAP Quiz: 6-month history of worsening exertional dyspnea

A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next? More...

Alcohol abuse

Alcohol abuse may increase risk of heart conditions as much as other risk factors

Researchers analyzed data from a Healthcare Cost and Utilization Project database in California to determine the association between a diagnosis of alcohol abuse and incident atrial fibrillation, myocardial infarction, and congestive heart failure. More...

Affordable Care Act

Debating ‘repeal and replace’

Last week, ACP sent a letter to the Senate asking that they vote “No” on a budget resolution that would start the process of repealing the Affordable Care Act. More...

Leadership training

Register now for new ACP Leadership Academy webinar on resiliency

The hourlong webinar, to be held Wednesday, Jan. 25, at 6:00 p.m. ET, will be led by Gail Gazelle, MD, FACP, a practicing physician, part-time Harvard Medical School assistant professor, and physician executive coach. More...

Cartoon caption contest

Put words in our mouth

ACP Internist Weekly 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...

Editorial note: ACP Internist Weekly will not publish next week due to the Martin Luther King Jr. Day holiday.


Physician editor: Philip Masters, MD, FACP



About ACP Internist Weekly

ACP Internist Weekly is a weekly newsletter produced by the staff of ACP Internist. It is automatically sent to all College members who have an e-mail address on file with ACP.

To sign up for ACP Internist Weekly, please click here.

Copyright © by American College of Physicians.

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Test yourself

A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?

Find the answer

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