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MKSAP Quiz: 6-week history of blisters

A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017

Task Force recommends screening all adults for alcohol misuse

Clinicians should screen all adults 18 and over, including pregnant women, for alcohol misuse and should provide brief behavioral counseling interventions to patients engaged in risky or hazardous drinking, the U.S. Preventive Services Task Force recently announced.
https://immattersacp.org/weekly/archives/2013/05/14/2.htm
14 May 2013

Safe prescribing can lessen overdose risk

In what one commentator called an “appalling” finding, 90% of patients in a recent study admitted to a hospital with a prescription opioid overdose eventually received another opioid prescription##mdash;often from the same clinician. Efforts to improve safe prescribing hope to fix the problem.
https://immattersacp.org/archives/2016/10/overdose.htm
1 Oct 2016

Genes have influence over whether you smoke, quit or die

Genes dictate which patients smoke, quit and die from the habit. Genomics can provide small victories that will make a difference in many lives.
https://immattersacp.org/archives/2008/10/genomics.htm
1 Oct 2008

ACP disagrees with Florida court decision preventing physicians from asking about guns

ACP strongly disagrees with the July 25 Florida court decision upholding a state law that bars doctors from asking patients about gun ownership, according to a press release.
https://immattersacp.org/weekly/archives/2014/08/05/7.htm
5 Aug 2014

Mindful Medicine: Don't confuse correlation with causation

The case of a young woman mistakenly diagnosed with asthma llustrates the danger of confusing correlation and causation.
https://immattersacp.org/archives/2008/07/mindful.htm
1 Jul 2008

MKSAP Quiz: 6-month history of abdominal pain

This week's quiz asks readers to evaluate a 35-year-old woman with a 6-month history of right upper quadrant abdominal pain.
https://immattersacp.org/weekly/archives/2012/02/14/3.htm
14 Feb 2012

Meld intuition with deliberation to sidestep diagnostic trap

Would you pass “the eyeball test” if the patient in this case study presented in your hospital's emergency room? Find out how one physician pressed for a better answer on a patient who presented with cardiac pain but no evidence of a heart attack.
https://immattersacp.org/archives/2009/03/mindful.htm
1 Mar 2009

A neighborhood approach to better health

Doctors treating patients who live in lower-income urban areas may need more in-depth understanding of how environment might shape their patients' health, and may even need to venture outside the office to better understand their patients' life circumstances.
https://immattersacp.org/archives/2016/01/urban-health.htm
1 Jan 2016

Nighttime gout attack risk may be twice as much as in daytime

The risk of acute gout attacks was more than twice as high during the night or early morning hours than the day, even among those who did not consume alcohol and had a low purine intake during the 24 hours prior to the attack, a study found.
https://immattersacp.org/weekly/archives/2014/12/16/5.htm
16 Dec 2014

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