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MKSAP Quiz: recurrent, bilateral eye pain and redness

This week's quiz asks readers to evaluate a 25-year-old woman with recurrent, bilateral eye pain and redness.
https://immattersacp.org/weekly/archives/2012/02/28/3.htm
28 Feb 2012

Making opiates safe, efficient in the office

Managing opiates leads to a host of issues with patients, for pre-empting pain while ensuring communication of clear limits and preventing abuse. These goals confound many internists, but clear-cut and easy guidelines presented at Internal Medicine 2012 can help internists achieve the best outcomes.
https://immattersacp.org/archives/2012/06/opiates.htm
1 Jun 2012

Review examines optimal primary care for combat veterans

A new review by clinicians from the Veterans Administration outlines conditions common to returning combat veterans who served in Iraq and Afghanistan and provides management guidelines for optimal primary care.
https://immattersacp.org/weekly/archives/2012/06/19/6.htm
19 Jun 2012

Advance directives are the beginning of care, not the end

Despite the best planning, patients may change their minds at the end of life once they recognize their unique situations and their sometimes surprising decisions.
https://immattersacp.org/archives/2012/07/gray.htm
1 Jul 2012

Assess statin-associated myalgia on a patient-by-patient basis

Statin-associated muscle pain is controversial and poorly understood. But the consequence of stopping cholesterol drugs has a much clearer downside. Counsel patients on potential side effects, and let them know that switching is preferable to stopping.
https://immattersacp.org/archives/2012/07/statins.htm
1 Jul 2012

Hormone therapy stirs debate 10 years after WHI

The Women's Health Initiative dramatically decreased hormone therapy for menopause, but 10 years later, the “knee-jerk” reaction has become more nuanced in how the regimen can be used.
https://immattersacp.org/archives/2012/09/hormones.htm
1 Sep 2012

Complexity of ‘migraineurs' challenges diagnosis, treatment

Migraines are a seemingly simple complaint for patients, but a diagnostic challenge for internists, who have to sort through the symptoms and potential causes. Sometimes, the treatment regimens are just as complex as the condition itself.
https://immattersacp.org/archives/2012/09/headaches.htm
1 Sep 2012

Metacognition and its impact on physician self-diagnosis

A physician tried to self-diagnose his symptoms of a feeling of suffocation and a change in gait. Experts review the cognitive biases that made the doctor overlook the right diagnosis.
https://immattersacp.org/archives/2012/10/gray.htm
1 Oct 2012

Generic pioglitazone, new HIV combination pill approved

This regulatory update covers approvals of the first generic form of pioglitazone and a combination form of emtricitabine, tonofavir and two new drugs for patients new to HIV treatment.
https://immattersacp.org/archives/2012/11/fda.htm
1 Nov 2012

MKSAP Quiz: 1-month history of headaches and blurred vision

A 65-year-old man is evaluated for a 1-month history of headaches and blurred vision, early satiety, and itching that occurs after showering. He has a 90-pack-year smoking history. Following physical, cardiopulmonary and neurologic examinations, what is the most appropriate next step in diagnosis?
https://immattersacp.org/weekly/archives/2012/12/04/3.htm
4 Dec 2012

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