The kidney's role in glucose production is as a producer and consumer of it, as well as filtering and reabsorbing it. SGLT2 inhibitors change that dynamic, creating new mechanisms, benefits and risks, and uncertainties that internists should know about this new drug class.
Internists often feel pressured to see patients in less time than patients need, creating dissatisfaction on both sides. The American College of Physicians is advocating for that time, to enhance the quality of each visit and allow for thoroughness and for reflection on the encounter.
ACP outlines its legislative agenda for the year, including resisting changes to the Affordable Care Act, preserving the Medicare primary care bonus program, and repealing the Medicare sustainable growth rate.
While some clinicians view the transition to ICD-10 as costly and burdensome, others feel that there are benefits for more accurately recording diagnoses. No matter which side of the issue, the conversion is likely to happen Oct. 1.
Medicare now reimburses internists for chronic care management services, but a few criteria need to be met. Learn more about how to recoup payment for services that many physicians are already providing.
This update covers the recall of rapid gram-negative combo panels, approval of an extended-release opioid analgesic, and a new rule about labeling prescription drugs related to pregnancy and lactation.
ACP's second decade saw upheaval, multiple moves, and a reluctant president accepting the office. Then, the Great Depression struck.
A 25-year-old woman is evaluated for a 1-week history of malodorous vaginal discharge associated with vulvar itching and burning. She is sexually active and has had three partners in the past 6 months. She has no history of sexually transmitted diseases. Following a physical exam and a saline microscopy, what is the most appropriate treatment?