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 December 16, 2014




Highlights

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...


Test yourself

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...


Pulmonology

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...


Gout

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...


Health research

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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Test yourself

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?

Find the answer

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