Posts filtered by tags: American College of Physicians[x]


 

MKSAP: 56-year-old woman pulmonary hypertension

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old woman is evaluated during an appointment to establish care. She has a developmental delay, and she is known to have pulmonary hypertension due to a congenital cardiac condition. There is no history of cardiac surgery. She is on low-dose […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Cardiology, PA NP, CRNA


American College of Physicians releases new edition of Ethics Manual

The American College of Physicians (ACP) today released the seventh edition of its Ethics Manual. New or significantly expanded sections of the ACP Ethics Manual include precision medicine and genetic testing, research and protection of human subjects, telemedicine, electronic communications, social media and online professionalism, electronic health records, and physician volunteerism.
Tags: ACP, American College of Physicians, American College of Physicians ACP


MKSAP: 55-year-old man with mild nausea and dyspepsia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in the emergency department for a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating. He has also had a 24-hour history of frequent black stools and fatigue. He […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Reclaiming our mission in medicine

A guest column by the American College of Physicians, exclusive to KevinMD.com. When reading (or writing) blog posts, it’s easy to be left with a mostly negative and often depressing view of the current state of medicine.  This is completely understandable as people usually write on topics and issues about which they feel strongly, and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


MKSAP: 25-year-old woman with ankylosing spondylitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Rheumatology, CRNA


MKSAP: 55-year-old man with severe COPD

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. He completed pulmonary rehabilitation 3 months ago […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Pulmonology, PA NP, CRNA


MKSAP: 60-year-old man with a variable 2-hour postprandial blood glucose

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man variable 2-hour postprandial blood glucose is evaluated during a routine follow-up examination. He has type 2 diabetes mellitus. Review of his blood glucose log demonstrates fasting blood glucose values ranging from 120 to 160 mg/dL (6.7-8.9 mmol/L) and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Diabetes, Endocrinology, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 82-year-old woman with Alzheimer’s disease

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is seen for follow-up evaluation of Alzheimer disease. Since her last visit 12 weeks ago, she has been taking rivastigmine, with a progressively titrated dosage. The patient’s only new symptoms are increasing insomnia, loss of appetite, and occasional […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Neurology, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 53-year-old woman with hypertension and chronic active hepatitis B infection

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the past 5 years with suppression of her serum […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Nephrology, CRNA


The power of the tincture of time

A guest column by the American College of Physicians, exclusive to KevinMD.com. I distinctly recall during residency a much older and well-respected clinical teacher periodically opining that what was needed in a particular patient case was “a dose of the tincture of time.” For those less familiar with more historic terminology, a tincture is an […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


MKSAP: 58-year-old woman with left lower abdominal discomfort

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 58-year-old woman is evaluated in the emergency department for a 2-day history of left lower abdominal discomfort. The pain began insidiously and has gradually progressed. She has felt warm but has not had shaking chills, urinary symptoms such as dysuria […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 82-year-old woman with a 1-week history of urinary incontinence

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, American College of Physicians, Primary Care, Conditions, Geriatrics, PA NP, CRNA


Responding to NRA, Doctors Tweet Bloody Photos, Stories of Gun Violence

The pictures on Twitter were an emotional response to a smackdown by the powerful gun industry lobby, which took issue with the American College of Physicians' call late last month for tighter gun control laws.
Tags: News, Nra, American College of Physicians


MKSAP: 42-year-old man with thrombophilia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 42-year-old man arrives for follow-up consultation. Three months ago he developed a proximal right leg deep venous thrombosis following a skiing-related fracture of the right tibia. Although not recommended by guidelines, a thrombophilia evaluation was performed, which revealed an elevated […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs no...
Tags: Health, American College of Physicians, Conditions, PA NP, Oncology/Hematology, CRNA


Doctors Revolt After N.R.A. Tells Them to ‘Stay in Their Lane’ on Gun Policy

The uproar highlighted decades-old tension over an effective ban on federal research of the public health effects of gun violence.
Tags: News, United States, Doctors, Gun Control, Firearms, American College of Physicians, Annals of Internal Medicine, Medicine and Health, National Rifle Assn, Marianne Haughey


MKSAP: 64-year-old man seen after an intraoperative liver biopsy

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old man is evaluated in follow-up after recent abnormal findings on intraoperative liver biopsy. Two days ago he underwent right colon resection for a large villous adenoma with high-grade dysplasia. At the time of surgery, an abnormal-appearing liver was noted […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Diabetes, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Surprise: Physician Group Rehashes Same Tired Gun Control Policies

Opinion Surprise: Physician Group Rehashes Same Tired Gun Control Policies Fairfax, VA – -(Ammoland.com)- Everyone has hobbies. Some doctors’ collective hobby is opining on firearms policy. Half of the articles in the “Latest from Annals” email from the Annals of Internal Medicine journal are related to firearms.The most prominent of these articles is a position paper written by the American College of Physicians (ACP) that expands upon their 2014 paper and reflects every anti-gunner’s public...
Tags: Guns, Iowa, ACP, American College of Physicians, NICS, Rand Corporation, American College of Physicians ACP, Gun Rights News, NRA-ILA, Institute for Legislative Action ILA, National Rifle Association of America ILA, Supreme Court The Supreme Court, Philip J Cook, Annals of Internal Medicine journal


Why patients don’t do what physicians tell them

A guest column by the American College of Physicians, exclusive to KevinMD.com. Those of us who provide clinical care inevitably have patients who simply don’t do what we tell them.  And this isn’t limited to only primary care but is encountered in all specialties and by subspecialists and consultants alike. Not only can this be […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


ACP appreciates final Medicare Physician Fee Schedule and QPP rules for 2019

The American College of Physicians appreciates that the final Medicare Physician Fee Schedule and the Quality Payment Program rules for 2019 are responsive to many of the concerns that ACP raised with the Centers for Medicare and Medicaid Services.
Tags: Health, Centers for Medicare, ACP, American College of Physicians


MKSAP: 79-year-old man with a sacral ulcer

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for pain in the buttocks region. He was diagnosed with non-Hodgkin large B-cell lymphoma 6 months ago. Although his lymphoma has responded well to therapy and he is without evidence of active disease, he required hospitalization […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Oncology/Hematology, CRNA


MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. She works in a day care center and has not traveled recently or had exposure to antibiotics. She is otherwi...
Tags: Health, Infectious Disease, American College of Physicians, Conditions, Gastroenterology


MKSAP: 34-year-old man with slow-growing lesions

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 34-year-old man is evaluated for several slow-growing lesions on his penis. He first noticed the wart-like growths 3 years ago, and they have progressively enlarged. He was treated with topical cryotherapy six times and topical imiquimod over the past year without improvement; the lesions have continued to enlarge. Medical history is significant for HIV infection. Medications are teno...
Tags: Health, Infectious Disease, American College of Physicians, Conditions


MKSAP: 36-year-old woman with refractory constipation

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old woman is evaluated for a 12-year history of refractory constipation. Her symptoms began after a difficult childbirth. She has constipation marked by straining, bloating, and a constant sensation of incomplete emptying. She sometimes has 4 or more days between bowel movements. When she does have a bowel movement, the stool is soft-formed. Trials of several fiber supplements...
Tags: Health, American College of Physicians, Conditions, Gastroenterology


When doctors behave badly: a call for civility

A guest column by the American College of Physicians, exclusive to KevinMD.com. It can be as blatant as a public argument between a hospitalist and emergency medicine physician about whether a patient requires admission.  But most commonly it is more nuanced and subtle.  Such as members of one speciality “bad-mouthing” another or a subspecialist criticizing a generalist for asking for a consult they don’t think is appropriate.  Not to mention the day-to-day interactions we have with other health...
Tags: Health, American College of Physicians, Primary Care, Physician, Hospital-Based Medicine


MKSAP: 56-year-old man with a family history of hypertrophic cardiomyopathy (HCM)

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is being evaluated after his 18-year-old son had a syncopal episode during a high school basketball game and was diagnosed with hypertrophic cardiomyopathy (HCM). The patient has had no symptoms, including with physical activity such as golfing or playing tennis. Medical history is unremarkable, and a review of family history is negative for other relatives with HCM, s...
Tags: Health, American College of Physicians, HCM, Conditions, Cardiology


MKSAP: 56-year-old man with painless intermittent bloody urine

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks’ duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. He also has hypertension and hyperlipidemia. Current medicatio...
Tags: Health, American College of Physicians, Wegener, Conditions, Oncology/Hematology


MKSAP: 25-year-old woman with type 1 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman with type 1 diabetes mellitus is evaluated for recent-onset glycemic fluctuations without symptomatic hypoglycemia. She was diagnosed with diabetes 7 years ago. Her HbA1c levels since diagnosis have ranged from 6.4% to 7.3%, with the most recent value at 7.3%. She reports eating a carbohydrate-consistent diet at each meal, with little variation in her selection of me...
Tags: Health, Diabetes, Endocrinology, American College of Physicians, Conditions


MKSAP: 52-year-old man with severe obstructive sleep apnea

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. He does not have problems with nasal congestion. Medical history ...
Tags: Health, American College of Physicians, CPAP, Conditions, Pulmonology


We are losing our ability to unplug

A guest column by the American College of Physicians, exclusive to KevinMD.com. I’m writing this as both an observation and confession. The observation is that my professional colleagues are increasingly unwilling or unable to disengage from work-related technology in what would otherwise be considered “personal” time. It is increasingly common to receive work-related emails or see non-urgent entries in the electronic health record (EHR) in the evenings, very early morning hours, and anytime ove...
Tags: Health, Practice Management, American College of Physicians, Physician


MKSAP: 48-year-old man with a 4-week history of heartburn

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old man is evaluated for a 4-week history of heartburn that awakens him at night. The symptoms occur about three times per week. He has been taking over-the-counter antacids with incomplete relief. Food triggers include coffee and spicy foods. He has not had unintentional weight loss or difficulty swallowing. Physical examination and laboratory studies are normal. Which of the...
Tags: Health, American College of Physicians, Conditions, Gastroenterology