A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
12 Jan 2021
A 52-year-old man is evaluated for dysphagia of 3 months' duration. He reports regurgitating undigested food soon after eating solid food, occasional coughing and choking after swallowing, and chronic halitosis. Following a physical examination, what is the most appropriate diagnostic test to perform next?
9 Jul 2019
Multiple recent studies assessed the effectiveness of the COVID-19 vaccines at different time intervals after vaccination, while others looked at the impact of booster shots. Results of a survey suggested that racial differences in vaccine uptake may be attributable to social barriers.
7 Dec 2021
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
1 Apr 2021
Dietary interventions may be able to send type 2 diabetes into remission, and intensive lifestyle interventions with some help from modern technology means more patients may now have the support they need to accomplish this.
1 May 2018
With the pandemic's effects on drinking as a backdrop, public health initiatives like “Dry January” may be enticing to patients who want to pause their drinking and examine their habits.
1 Jan 2022
Internists are well positioned to spot eating disorder symptoms in older adults, who can suffer more serious consequences of the condition.
1 Feb 2021
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?
8 Oct 2019
ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.
18 May 2021
ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption.
25 May 2021