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Extended-release metformin recalled due to impurity

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/07/extended-release-metformin-recalled-due-to-impurity.htm
1 Jul 2020

Older adults have greater risk for complications after colonoscopy, study finds

The results suggest that clinicians should carefully consider the decision to perform colonoscopy in patients ages 75 years and older, particularly in the presence of comorbidities, study authors said.
https://immattersacp.org/weekly/archives/2020/06/30/2.htm
30 Jun 2020

MKSAP Quiz: 6 months of exertional dyspnea

A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020

Treating skin ulcers in the office

In addition to five principles of wound care, an expert addresses pearls that can aid with all types of skin healing and antimicrobial efforts.
https://immattersacp.org/archives/2020/06/treating-skin-ulcers-in-the-office.htm
1 Jun 2020

Palliative care for a pandemic

Diane E. Meier, MD, FACP, director of the Center to Advance Palliative Care, discusses how palliative care can be applied to the COVID-19 pandemic.
https://immattersacp.org/archives/2020/05/palliative-care-for-a-pandemic.htm
1 May 2020

New guidance urges caution on testosterone

Internists considering testosterone therapy are ideally positioned to consider a broader differential diagnosis that will actually help the patient.
https://immattersacp.org/archives/2020/05/new-guidance-urges-caution-on-testosterone.htm
1 May 2020

Reassurance on ACE inhibitors, ARBs and COVID-19; new rules, advice from CMS and CDC

Also, ACP launched a new interactive CME program to help practices start and sustain telemedicine programs, and an ACP webinar on March 30 will offer advice from the front lines for maintaining physician well-being during the pandemic.
https://immattersacp.org/weekly/archives/2020/03/24/1.htm
24 Mar 2020

Managing HIV with testing, prevention

Antiretroviral therapy has made an impact in treating HIV, but preexposure prophylaxis has created a huge opportunity in preventing infection, with internists poised to play a role.
https://immattersacp.org/archives/2020/03/managing-hiv-with-testing-prevention.htm
1 Mar 2020

Closing care gaps in adult congenital heart disease

Many patients who are congenital heart disease survivors face gaps as they transition out of pediatric care, leading to problems that might have been avoided had they received appropriate, continuous care.
https://immattersacp.org/archives/2020/03/closing-care-gaps-in-adult-congenital-heart-disease.htm
1 Mar 2020

Cardiovascular events similar, adverse effects worse with chlorthalidone compared to hydrochlorothiazide

Chlorthalidone was associated with a significantly higher risk of hypokalemia, hyponatremia, acute renal failure, chronic kidney disease, type 2 diabetes, and abnormal weight gain.
https://immattersacp.org/weekly/archives/2020/02/25/2.htm
25 Feb 2020

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