February 2023


A new recommendation from the Womens Preventive Services Initiative calls for all women ages 40 to 60 years to be counseled on strategies to prevent weight gain even when they havent been diagnosed

Weighing options for mid-life women

Talking about diet and exercise habits in mid-life can help guard against incremental weight gain.

Improving celiac disease diagnosis

Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.

Relationships and return on investment

ACP membership offers medical education, advocacy and evidence-based policy, and a community of colleagues.

Hear, hear for audio-only health care access

Audio-only telemedicine has improved patient care, especially for rural and disadvantaged patients. ACP is seeking member feedback on their use of the practice.

How to handle uncertainty

Studies have yet to tease out how physicians' tolerance of uncertainty affects their behavior and decision making, and even their sense of burnout.

More clarity on myocarditis with mRNA COVID-19 vaccines

The classic presentation for COVID-19 vaccine-associated myocarditis is chest pain one to seven days after vaccination, with a median time of three days after vaccination, particularly after the second dose.

Being deliberate about spontaneous bacterial peritonitis

Physicians all use diagnostic criteria when trying to determine a patient's condition, but it's important to remember the patients in whom those diagnostic criteria have been validated.

Medicare's wellness coverage offers critical services

Physicians must understand the requirements for billing for Medicare-covered preventive services, such as the “Welcome to Medicare” exam and Annual Wellness Visit (AWV).

New drugs approved for C. diff, HIV

This column reviews recent recalls, alerts, and approvals.

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.

MKSAP Quiz: Lower extremity edema, rash

A 31-year-old woman is evaluated for lower extremity edema, a rash over both legs, and fatigue that have worsened during the past 3 months. She has no other medical problems and takes no medications. Following a physical exam and lab studies, what viral study will support the most likely diagnosis?

Watching weight for women

This month's issue addresses weight gain in women, celiac disease, and mRNA COVID-19 vaccines and myocarditis.

Obituaries

The College notes the passing of James (Jim) Foody III, MD, FACP; Marcus Boyd Shook, MD, MACP; C. Anderson (Andy) Hedberg, MD, MACP; and George Goldsand, MD, MACP.

Upcoming Chapter meetings announced

The following are scheduled for 2023.