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 August 30, 2016
CPAP didn't reduce cardiac events in patients with obstructive sleep apnea and pre-existing CVD
Prescribing continuous positive airway pressure with the sole purpose of reducing future cardiovascular events in asymptomatic patients with obstructive sleep apnea and established cardiovascular disease cannot be recommended, an editorial stated. More...
Sacubitril-valsartan appears cost-effective in certain heart failure patients
Treatment value was highest in patients with class II heart failure, who also benefited most from treatment in the PARADIGM-HF trial, and improved outcomes with the drug would need to be sustained for at least 36 months to keep the cost per quality-adjusted life-year below a $100,000 threshold. More...
MKSAP Quiz: Diarrhea for 2 days
A 25-year-old woman e-mails her internist from Mexico with a report of diarrhea for 2 days. She is traveling and reports three to four loose bowel movements per day. She has been dining in the hotel restaurants but has also consumed foods and bottled soft drinks served with ice from local food vendors. She was given levofloxacin and loperamide to take with her on her trip. In addition to encouraging oral hydration, what is the most appropriate treatment recommendation for this patient? More...
Only 20% with chronic rhinosinusitis receive topical intranasal steroid therapy, Canadian study finds
Topical intranasal steroid spray was used by 1 in 5 patients for about 2 to 3 months on average, despite being a recommended treatment for adults with chronic rhinosinusitis. More...
Wrist blood pressure self-measurement at home not always reliable, study indicates
Home self-measurement of blood pressure with wrist devices often leads to falsely elevated readings, presumably because of poor patient comprehension of instructions and resultant incorrect arm positioning, a study found. More...
New ACP Leadership Academy webinar open for registration
The free webinar "Why Not Ask? Negotiating with Confidence," on Sept. 13, at 6:30 p.m. E.T., will be led by Tammy Lin, MD, MPH, FACP, and Julia Wright, MD, FACP, as part of the Leadership Academy's Women in Medicine Series. More...
Cartoon caption contest
And the winner is …
ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption. More...
Editorial note: ACP Internist Weekly will not publish next week due to the Labor Day holiday.
Physician editor: Philip Masters, MD, FACP
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A 25-year-old woman e-mails her internist from Mexico with a report of diarrhea for 2 days. She is traveling and reports three to four loose bowel movements per day. She has been dining in the hotel restaurants but has also consumed foods and bottled soft drinks served with ice from local food vendors. She was given levofloxacin and loperamide to take with her on her trip. In addition to encouraging oral hydration, what is the most appropriate treatment recommendation for this patient?
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