Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
Buprenorphine might be a safer initial strategy for many patients because of the better chance of a quick, successful induction, a comment author noted.
A 26-year-old woman with a mechanical mitral valve prosthesis visits to discuss anticoagulation management during pregnancy. Her last menstrual period was 6 weeks ago and her pregnancy was confirmed by laboratory testing in the office. Her mitral valve was replaced 5 years ago. Her medications are low-dose aspirin, metoprolol, and warfarin (4 mg/d). Which anticoagulation regimen will provide the greatest protection against thromboembolism during her pregnancy?
Patients were more likely to be discharged home if they were cared for by their primary care physician versus by a hospitalist, while patients cared for by other generalists were less likely to be discharged home than patients cared for by hospitalists.
ACP's patient guidebook, “Living with Diabetes: An Everyday Guide for You and Your Family,” was recently updated with new visuals and a redesigned layout that is easier for patients to read.
Submissions wanted for ACP Innovation Challenge 2018: Re-Imagining the Practice of Internal Medicine
An event at ACP's annual meeting will let selected finalists present ideas that have the potential to transform the practice of internal medicine on a national level.