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Anticoagulation likely OK for stroke patients undergoing dental procedures

Stroke patients on blood thinners who undergo dental procedures can routinely continue aspirin or warfarin, according to level A recommendations issued by the American Academy of Neurology.
https://immattersacp.org/weekly/archives/2013/06/04/1.htm
4 Jun 2013

How to handle talking politics with patients

While physicians should not inflict their political opinions on patients, how this plays out in the exam room depends on the doctor.
https://immattersacp.org/archives/2013/09/presidents.htm
1 Sep 2013

Repeat BMD screens unlikely to change osteoporosis management

Older patients who aren't being treated for osteoporosis may not benefit from frequent repetition of bone mineral density (BMD) testing, a new study found.
https://immattersacp.org/weekly/archives/2013/10/01/4.htm
1 Oct 2013

Long-term follow-up of WHI indicates menopausal hormone therapy not helpful for chronic disease prevention

Hormone therapy after menopause is not effective for chronic disease prevention, according to a new analysis of long-term follow-up data from the Women's Health Initiative (WHI).
https://immattersacp.org/weekly/archives/2013/10/08/1.htm
8 Oct 2013

Vitamin D didn't increase BMD in healthy, nonelderly adults

Vitamin D supplementation doesn't improve bone mineral density (BMD) in healthy adults, a new systematic review and meta-analysis concluded.
https://immattersacp.org/weekly/archives/2013/10/22/2.htm
22 Oct 2013

MKSAP Quiz: Intermittent abdominal discomfort

A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?.
https://immattersacp.org/archives/2013/11/mksap.htm
1 Nov 2013

PERSPECTIVES 4 ACPINTERNIST Most patients and physicians are very ...

gradually progressive rash charac-terized by redness of the face, and a pru-ritic rash on her chest, upper back, shoul-ders, hands, and lateral hips.
https://immattersacp.org/archives/2013/11/acpi-201311-puzzle_t1.pdf
1 Nov 2013

MKSAP Quiz: 10-year history of hot flushes

A 61-year-old woman is evaluated for hot flushes, which have been persistent for the last 10 years. They occur at least 7 times per day, last for approximately 60 seconds, and are associated with severe sweating, palpitations, and occasional nausea. She is awakened several times per night. Following a review of medicines and herbal supplements, taking her medical history, and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/11/05/3.htm
5 Nov 2013

ACP recommends conservative use of transfusions and erythropoiesis-stimulating agents in patients with heart disease

Red blood cell transfusions should be restricted to cases of severe anemia in patients with heart disease, the American College of Physicians recommended in a clinical practice guideline published in Annals of Internal Medicine.
https://immattersacp.org/weekly/archives/2013/12/10/4.htm
10 Dec 2013

To prescribe exercise, start specific and small

Primary care physicians can offer more specific advice when they suggest exercise##mdash;frequency, intensity and type, for example##mdash;to increase their patients' likelihood of following through.
https://immattersacp.org/archives/2014/01/exercise.htm
1 Jan 2014

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