There was a significantly increased risk of coronary artery disease, peripheral vascular disease, and cardiovascular disease-related death in patients with a suboptimal response to statins compared with those with an optimal response.
The trial was stopped early after an interim safety analysis found significantly better renal and cardiovascular outcomes among type 2 diabetes patients randomized to canagliflozin than those assigned to placebo.
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
Recommendations of the paper published in Annals of Internal Medicine include stabilizing the health insurance market, expanding Medicaid, increasing competition in the marketplace, and amplifying awareness about how the ACA works.
A study found that an average of 66% of interns' days were spent on indirect patient care (mostly charting and documentation), showing that “internal medicine is now indeed a trade practiced before a computer screen,” an editorial said.
ACP President Robert M. McLean, MD, FACP, is featured on the latest episode of The Curbsiders, a podcast hosted by internists focusing on internal medicine-related topics that offers CME credit and MOC points to ACP members.