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New resource offers guide to ‘Practical Office Orthopedics'

Internists can practice some orthopedics in their offices, such as managing common orthopedic conditions affecting the knees, shoulders, hips, feet, ankles, hands, wrists, elbows, and spine.
https://immattersacp.org/archives/2018/03/new-resource-offers-guide-to-practical-office-orthopedics.htm
1 Mar 2018

Calculate ‘sum of the parts' to pinpoint CV risk in women

Women face a steep increase in cardiovascular risk after menopause, requiring internists to incorporate composite indicators into the annual exam at midlife.
https://immattersacp.org/archives/2018/01/calculate-sum-of-the-parts-to-pinpoint-cv-risk-in-women.htm
1 Jan 2018

MKSAP Quiz: 2-week history of left-sided headaches

An 82-year-old woman is evaluated for a 2-week history of left-sided headaches with pain on chewing, accompanied by achiness in the shoulders and hips. She has no other pertinent personal or family history. She takes no medications. Following a physical exam and lab studies, what is the most appropriate immediate next step in management?
https://immattersacp.org/weekly/archives/2017/11/14/3.htm
14 Nov 2017

Adapting primary care to include transgender patients

The best way to treat transgender individuals in the ambulatory care setting involves coordination headed by culturally competent primary care.
https://immattersacp.org/archives/2017/11/adapting-primary-care-to-include-transgender-patients.htm
1 Nov 2017

Internist involvement crucial to easing early menopause

Assessments for the potential symptoms of menopause should begin when women are in their 40s and may be entering perimenopause.
https://immattersacp.org/archives/2017/09/internist-involvement-crucial-to-easing-early-menopause.htm
1 Sep 2017

MKSAP Quiz: Management of joint pain

A 67-year-old woman is evaluated during a routine examination. She has a history of hip and knee pain related to degenerative joint disease. The joint pain is now well controlled with diclofenac, which was started 3 months ago. She does not have any gastrointestinal symptoms, and she takes the diclofenac with food most of the time. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/06/20/3.htm
20 Jun 2017

ACP strongly recommends generic bisphosphonates, denosumab to prevent fractures in women with osteoporosis

The guideline focuses on the comparative benefits and risks of short- and long-term drug treatments for low bone density or osteoporosis, including prescriptions, calcium, vitamin D, and estrogen.
https://immattersacp.org/weekly/archives/2017/05/09/1.htm
9 May 2017

Understanding MIPS, how much patients cost 'the system'

As physicians convert to the Merit-Based Incentive Payment System, they will eventually be required to consider the cost of care they deliver to patients.
https://immattersacp.org/archives/2017/04/tips.htm
1 Apr 2017

Antidepressants, antianxiety drugs frequently detected in plasma of older adults admitted for hip fracture, study finds

Of the patient population studied, nearly two-thirds had psychotropic or analgesic drugs or both detected in their blood.
https://immattersacp.org/weekly/archives/2017/03/14/4.htm
14 Mar 2017

MKSAP quiz: 3-month history of right hip pain

A 79-year-old man is evaluated for a 3-month history of right hip pain. He points to the center of his right buttock when asked to identify the location of the pain. He has no radicular symptoms. He reports no focal trauma but believes his symptoms began after he stepped off a curb that was higher than anticipated. Medical history is otherwise unremarkable. His only medication is as-needed acetaminophen for pain. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/03/14/3.htm
14 Mar 2017

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