Search results for "Rheumatology"
Osler, expertise, and phronesis personified
From residency onward throughout a physician's career, becoming a diagnostician requires the ability to distinguish important clues or details from those that are not as pertinent to the situation at hand, a slowly developed skill that ultimately is recognized as an “expertise.”
https://immattersacp.org/archives/2019/10/osler-expertise-and-phronesis-personified.htm
1 Oct 2019
MKSAP Quiz: 3-month history of fatigue, rash
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?.
https://immattersacp.org/archives/2014/09/mksap.htm
1 Sep 2014
DynaMed Plus Quiz: Shortness of breath
A 40-year-old trophy-winning professional knitter reports increasing shortness of breath and dry cough for the past week, as well as hoarseness and throat pain for the past three days. Upon questioning, she reports feeling “feverish” and being unusually tired of late. Following a review of systems, physical exam, and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/11/dynamed-plus-quiz-shortness-of-breath.htm
1 Nov 2017
MKSAP Quiz: 3-month history of hand pain
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
https://immattersacp.org/archives/2013/09/mksap.htm
1 Sep 2013
MKSAP Quiz: 3-year history of low back pain
A 67-year-old man is evaluated for a 3-year history of low back pain, which is of moderate intensity and worsens during activities, and a 10-year history of neck pain accompanied by 20 minutes of morning stiffness. Following a physical and neurological exam, and a radiograph of the spine, what is the most likely diagnosis?.
https://immattersacp.org/archives/2013/01/mksap.htm
1 Jan 2013
Board of Governors Chair-elect candidates
Susan T. Hingle, FACP, and Robert M. McLean, FACP, are seeking election as Chair-elect of the Board of Governors. The Governors will be casting ballots online shortly, with the winner to be announced in October.
https://immattersacp.org/archives/2011/09/governors.htm
1 Sep 2011
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination candidates for College governance.
https://immattersacp.org/archives/2017/11/nominees-named-for-college-officer-and-regent-positions.htm
1 Nov 2017
Battling the hydra of the medical-industrial complex
ACP leadership has developed a new vision for the future of American health care in order to achieve universal coverage and improve access, reduce costs, improve the dysfunctional payment system, and reduce administrative burdens and excessive complexity.
https://immattersacp.org/archives/2020/04/battling-the-hydra-of-the-medical-industrial-complex.htm
1 Apr 2020
Portable ultrasound scopes out a new role
Enthusiasts argue that point-of-care ultrasonography extends the scope of the physical exam far beyond what can be auscultated through a stethoscope. Detractors worry about overdiagnosis and a loss of medical skills that have intrinsic value. Both sides seek balance when considering how to use this new technology.
https://immattersacp.org/archives/2014/05/ultrasound.htm
1 May 2014
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