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In the News

Clinical updates from the reports compiled by ACP IntenristWeekly.
https://immattersacp.org/archives/2009/05/in-the-news.htm
1 May 2009

Metacognition and its impact on physician self-diagnosis

A physician tried to self-diagnose his symptoms of a feeling of suffocation and a change in gait. Experts review the cognitive biases that made the doctor overlook the right diagnosis.
https://immattersacp.org/archives/2012/10/gray.htm
1 Oct 2012

Expert lays out controversies for cardio care

February is National Heart Disease Awareness Month, and the field is wide open to controversies seemingly without resolution when it comes to invasive versus therapeutic regimens.
https://immattersacp.org/archives/2010/02/heart.htm
1 Feb 2010

Guideline released on management of non-ST-elevation acute coronary syndromes

The American Heart Association (AHA) and the American College of Cardiology (ACC) released the “2014 Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes” (NSTE-ACS) last week.
https://immattersacp.org/weekly/archives/2014/09/30/6.htm
30 Sep 2014

Changes coming for colon cancer screening

Colonoscopies are an obvious target in the current push to decrease health care costs, given their expense and utilization, said experts at Digestive Disease Week in Chicago in May.
https://immattersacp.org/archives/2014/07/colonoscopy.htm
1 Jul 2014

MKSAP Quiz: ED evaluation for midsternal pain

A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014

MKSAP Quiz: Red, scaly skin lesions

A 37-year-old man is evaluated for a 4-month history of progressively worsening red, scaly lesions involving the scalp, trunk, and extremities. During the past month, he also has had pain in the hands and feet and has lost 4.5 kg (10.0 lb). Aspirin and acetaminophen have helped to relieve his joint symptoms. He does not drink alcoholic beverages, has no other medical problems, and takes no additional medications. He denies allergies. He has sex with men and women and uses condoms inconsistently. What diagnostic studies should be performed next in this patient?.
https://immattersacp.org/archives/2011/03/mksap.htm
1 Mar 2011

Know the patient to achieve statin benefits

That statins work is without question. And with costs falling due to many drugs in the class going generic, physicians are now refining when to prescribe the ubiquitous drug class based on the degree of risk.
https://immattersacp.org/archives/2010/11/statin.htm
1 Nov 2010

Extended anticoagulant treatment prevents recurrent VTE after first unprovoked PE

An additional 18 months of warfarin treatment in patients with first unprovoked PE improves outcomes versus placebo, although the improvement was not sustained after anticoagulant treatment was discontinued.
https://immattersacp.org/weekly/archives/2015/07/14/2.htm
14 Jul 2015

Updated guideline released on PAD diagnosis and management

An updated guideline on diagnosis and management of peripheral artery disease was released last week by the American College of Cardiology Foundation and the American Heart Association, in conjunction with several other medical organizations.
https://immattersacp.org/weekly/archives/2011/10/04/1.htm
4 Oct 2011

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