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New report proposes solutions to drug shortages

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/01/new-report-proposes-solutions-to-drug-shortages.htm
1 Jan 2020

ACP issues new guidance on colorectal cancer screening

For asymptomatic, average-risk patients ages 50 to 75 years, the guidance suggests use of a fecal immunochemical test (FIT) or high-sensitivity guaiac-based fecal occult blood test every two years, colonoscopy every 10 years, or flexible sigmoidoscopy every 10 years plus FIT every two years.
https://immattersacp.org/weekly/archives/2019/11/05/1.htm
5 Nov 2019

An ode to Osler

The influential internist died 100 years ago this December.
https://immattersacp.org/archives/2019/11/an-ode-to-osler.htm
1 Nov 2019

MKSAP Quiz: 2-week history of difficulty swallowing

A 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant for a 30-pack-year history of smoking. Following a physical exam, lab studies, and chest CT, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/11/mksap-quiz-2-week-history-of-difficulty-swallowing.htm
1 Nov 2019

Are internists team leaders or orchestra conductors?

Experience gained during residency training alongside so many other specialists and a role as care coordinators makes internal medicine specialists become uniquely qualified to serve as the conductor of this patient care orchestra.
https://immattersacp.org/archives/2019/11/are-internists-team-leaders-or-orchestra-conductors.htm
1 Nov 2019

MKSAP Quiz: Colorectal cancer screening without colon preparation

A 65-year-old man is interested in initial colorectal cancer screening but adamantly refuses to undergo colon preparation and does not want to modify his diet. Medical and family histories and physical exam results are unremarkable, and he takes no medications. What is the most appropriate screening test?
https://immattersacp.org/weekly/archives/2019/10/08/3.htm
8 Oct 2019

Deciding which advocacy issues are ‘in our lane’

ACP asks four essential questions.
https://immattersacp.org/archives/2019/10/deciding-which-advocacy-issues-are-in-our-lane.htm
1 Oct 2019

MKSAP Quiz: 2-month history of painless, violaceous skin nodules with edema

A 32-year-old man is evaluated for a 2-month history of painless, violaceous skin nodules with surrounding edema on the chest, back, and lower extremities. He reports that he has sex with men. Medical history is significant for AIDS, with a CD4 cell count of 54/µL. He is not following an antiretroviral therapy regimen. Following a physical exam, what is the most likely cause of these findings?
https://immattersacp.org/archives/2019/10/mksap-quiz-2-month-history-of-painless-violaceous-skin-nodules-with-edema.htm
1 Oct 2019

Polypill strategy may help improve outcomes, adherence in underserved populations

The researchers said that the observed reductions in systolic blood pressure and LDL cholesterol level were clinically and statistically significant and, if sustained, would lead to an estimated 25% reduction in cardiovascular event incidence.
https://immattersacp.org/weekly/archives/2019/09/24/2.htm
24 Sep 2019

Model supports high-intensity surveillance after detection of colorectal adenomas

The target population was U.S. patients ages 50, 60, or 70 years with low-risk or high-risk adenomas removed after screening via colonoscopy or fecal immunochemical testing.
https://immattersacp.org/weekly/archives/2019/09/24/1.htm
24 Sep 2019

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