Amid rising rates of long-term hepatitis C infection, particularly among older populations, better treatments are able to treat the condition. But first, patients have to know they have it, and internists have to be able to recognize the diagnosis.
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.
Smoking cessation programs are traditionally treated as discrete, standalone attempts. One program applied dedicated counselors who could form a relationship with the patient over long stretches of time, resulting in better success.
An expert counsels internists to consider screening their elderly patients for financial abuses, from investment scams to pressure from family members. Doctors can partner with financial experts to prevent financial exploitation.
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.
Just as radiology screenings can return results of incidentalomas, genetic scans can also return inadvertent findings. But some guidance can be taken from criteria developed in 1968 for adopting any screening test.
ACP's health care positions can't be neatly labeled as coming from one political perspective or another. A wide array of issues requires consideration.
A 27-year-old woman is evaluated in the emergency department for a 2-day history of diffuse headache, fatigue, and gingival bleeding on brushing her teeth. She is otherwise healthy. She is alert and oriented but reports having a headache. Petechiae that had gone unnoticed by the patient are visible on the lower extremities. What is the most appropriate next step in management?