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 June 21, 2016




Colorectal cancer

Task Force updates recommendations for colorectal cancer screening

Several different methods can accurately detect early-stage colorectal cancer and adenomatous polyps, but sensitivity of any test used over time is more important in an ongoing screening program, the Task Force noted. More...


Value-based care

Physicians, advanced practice clinicians may order similar amounts of low-value care for certain conditions, study finds

Advanced practice clinicians were not significantly more likely than physicians to order antibiotics, CT/MRI, or radiography, or to refer patients to other physicians for upper respiratory infections, back pain, or headache. More...


Test yourself

MKSAP Quiz: 10-year history of fear and anxiety

A 26-year-old woman is evaluated for a 10-year history of recurrent episodes of acute-onset feelings of fear and anxiety. These episodes initially occurred approximately 4 times per year but for the past 3 months have been occurring once or twice per month, especially when she is under stress. She describes the episodes as paroxysmal attacks of fear and anxiety associated with a dry mouth and a consistent "roller coaster" sensation in her stomach that typically last 15 seconds to 1 minute. Following a physical exam, brain MRI, and electroencephalogram, what is the most likely diagnosis? More...


Cardiology

Atrial fibrillation patients often prescribed aspirin instead of anticoagulants, study finds

Cardiologists may be prescribing aspirin instead of oral anticoagulants because they think that aspirin is as efficacious as oral anticoagulants, or because they want to avoid the inconvenience of oral anticoagulation. More...


Hospital medicine leadership

Register now for Certificate in Physician Leadership for Hospital Medicine

ACP members may now enroll in a program that includes a combination of formal training through 43.5 hours of webinar or live coursework, group discussions, and a capstone project. More...


CMS update

ACP offers resources to help with transition to new payment systems

ACP resources include a Top 10 list of actions to take this year, perspective pieces summarizing the changes, and a recorded briefing about the Medicare Access & CHIP Reauthorization Act. More...


Cartoon caption contest

Vote for your favorite entry

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


Physician editor: Philip Masters, MD, FACP



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Test yourself

A 26-year-old woman is evaluated for a 10-year history of recurrent episodes of acute-onset feelings of fear and anxiety. These episodes initially occurred approximately 4 times per year but for the past 3 months have been occurring once or twice per month, especially when she is under stress. She describes the episodes as paroxysmal attacks of fear and anxiety associated with a dry mouth and a consistent "roller coaster" sensation in her stomach that typically last 15 seconds to 1 minute. Following a physical exam, brain MRI, and electroencephalogram, what is the most likely diagnosis?

Find the answer

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