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Warning on medication confusion, recalls due to sterility

This update covers possible confusion between an antidepressant and an anti-clotting drug, as well as 2 sterility warnings.
https://immattersacp.org/archives/2015/10/fda.htm
1 Oct 2015

Alcohol treatment may be shifting to primary care

This issue covers topics such as the uptick of alcohol misuse treatment in primary care, the mind-body connection between mental health and heart disease, and ways in which patients can educate each other more effectively about lifestyle maintenance.
https://immattersacp.org/archives/2015/10/editors.htm
1 Oct 2015

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.
https://immattersacp.org/weekly/archives/2014/12/16/5.htm
16 Dec 2014

Take time to discuss women's sexual health

A women's sexual health equates to her overall health, and internists should ask about it and refer for it when needed.
https://immattersacp.org/archives/2019/10/take-time-to-discuss-womens-sexual-health.htm
1 Oct 2019

ACP disagrees with Florida court decision preventing physicians from asking about guns

ACP strongly disagrees with the July 25 Florida court decision upholding a state law that bars doctors from asking patients about gun ownership, according to a press release.
https://immattersacp.org/weekly/archives/2014/08/05/7.htm
5 Aug 2014

How to start and stop bisphosphonates

A new online tool and a few simple rules can inform internists how to start bisphosphonates and when to consider taking a drug holiday at the request of another physician, a dentist or even the patient.
https://immattersacp.org/archives/2013/06/bisphosphonates.htm
1 Jun 2013

MKSAP Quiz: preoperative evaluation for knee replacement

A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014

MKSAP Quiz: Evaluation for increasing fatigue

An 81-year-old man is evaluated for increasing fatigue. He has no other symptoms to report. Medical history is significant for diabetes mellitus and hypertension. He does not drink alcohol or smoke. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next to evaluate this patient's anemia?
https://immattersacp.org/archives/2019/09/mksap-quiz-evaluation-for-increasing-fatigue.htm
1 Sep 2019

USPSTF updates osteoporosis screening guidelines for men, women

USPSTF updates osteoporosis screening guidelines for men, womenNonrespiratory causes of death becoming more common in oxygen-dependent COPD
https://immattersacp.org/weekly/archives/2011/01/25/1.htm
25 Jan 2011

Task Force recommends screening all adults for alcohol misuse

Clinicians should screen all adults 18 and over, including pregnant women, for alcohol misuse and should provide brief behavioral counseling interventions to patients engaged in risky or hazardous drinking, the U.S. Preventive Services Task Force recently announced.
https://immattersacp.org/weekly/archives/2013/05/14/2.htm
14 May 2013

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