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MKSAP Quiz: Assessment at hospital discharge

A 58-year-old man is assessed for discharge from the hospital. He was admitted 3 days ago with fever and chills. He has non-Hodgkin lymphoma and a tunneled subclavian venous catheter used for chemotherapy infusion. The patient is ready to be discharged to complete intravenous daptomycin therapy as an outpatient. What is the most appropriate weekly monitoring of his daptomycin therapy?
https://immattersacp.org/weekly/archives/2021/02/09/3.htm
9 Feb 2021

Detecting eating disorders in midlife

Internists are well positioned to spot eating disorder symptoms in older adults, who can suffer more serious consequences of the condition.
https://immattersacp.org/archives/2021/02/detecting-eating-disorders-in-midlife.htm
1 Feb 2021

Subclinical hypothyroidism prompts personalized decisions

For diagnosing and managing subclinical hypothyroidism, clinical context such as age and symptoms matter, even in the face of an incomplete understanding of the condition.
https://immattersacp.org/archives/2021/02/subclinical-hypothyroidism-prompts-personalized-decisions.htm
1 Feb 2021

MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising

A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020

Studies of LDL levels, therapies support treatment of those older than age 70

A retrospective study found the association between low-density lipoprotein (LDL) cholesterol levels and cardiovascular events to increase with age, while a meta-analysis highlighted the benefits of statins and other lipid-lowering therapies in older patients.
https://immattersacp.org/weekly/archives/2020/11/17/4.htm
17 Nov 2020

Preventive care still on during COVID-19

COVID-19 may foster innovation in primary care as physicians describe various strategies to reconnect with patients, such as leveraging telemedicine visits to also explain the practice's coronavirus-related safety protocols, or systematically reviewing their panels to flag at-risk patients.
https://immattersacp.org/archives/2020/11/preventive-care-still-on-during-covid-19.htm
1 Nov 2020

Mixed findings on remdesivir for COVID-19, news on SARS-CoV-2 vaccines

Among other news this week, the NIH and the WHO released results from remdesivir trials, more negative findings were published for hydroxychloroquine, and ACP and Annals of Internal Medicine held a vaccine forum featuring Anthony S. Fauci, MD, MACP, and other experts.
https://immattersacp.org/weekly/archives/2020/10/20/2.htm
20 Oct 2020

Effects of pandemic on alcohol use, mental health, primary care, and hospitalizations

Recent studies found that the pandemic was associated with increases in alcohol use and internet searches for mental health issues. The rise of telemedicine meant fewer blood pressure and cholesterol evaluations, and hospitalizations for several non-COVID-19 conditions stayed below normal.
https://immattersacp.org/weekly/archives/2020/10/06/1.htm
6 Oct 2020

Taking a weight off diabetes care

Not only is the focus on weight not beneficial to diabetes patients, it can cause other health consequences such as weight cycling and eating disorders.
https://immattersacp.org/archives/2020/09/taking-a-weight-off-diabetes-care.htm
1 Sep 2020

Warning about hand sanitizer; labeling changes for opioids

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/09/warning-about-hand-sanitizer-labeling-changes-for-opioids.htm
1 Sep 2020

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