Search results for "Breast Cancer"
Not enough time for primary care clinicians to provide guideline-recommended care, study finds
A recent simulation study estimated that a primary care clinician would require 26.7 h/d to provide preventive, chronic, and acute care, plus documentation/inbox management, to an average panel of 2,500 patients. This time decreased to 9.3 h/d with team-based care.
https://immattersacp.org/weekly/archives/2022/07/12/2.htm
12 Jul 2022
MKSAP Quiz: Involuntary urine loss with coughing
A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/06/21/3.htm
21 Jun 2022
Rethinking advance care planning
While more physicians are reporting having conversations about advance care planning with their patients, it's still far from common.
https://immattersacp.org/archives/2022/05/rethinking-advance-care-planning.htm
1 May 2022
MKSAP Quiz: Follow-up for systemic lupus erythematosus
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://immattersacp.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022
Breast cancer overdiagnosis may not happen as frequently as previously thought
About 15% of breast cancers detected by biennial mammograms in women ages 50 to 74 years would never have progressed or caused harm in the women's lifetimes, a new retrospective study found.
https://immattersacp.org/weekly/archives/2022/03/01/1.htm
1 Mar 2022
MKSAP Quiz: Evaluation for headaches and nausea
A 45-year-old woman is evaluated for headaches and nausea that started 2 weeks ago. Her headaches are worse in the morning and have been associated with vomiting. Medical history is significant for metastatic breast cancer diagnosed 4 years ago. Physical and funduscopic exam and an MRI of the brain are done. Based on the findings, what is the most appropriate initial treatment?
https://immattersacp.org/archives/2022/03/mksap-quiz-evaluation-for-headaches-and-nausea.htm
1 Mar 2022
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2022/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2022
‘Best of Annals 2021’ collection and video now available
The editors of Annals of Internal Medicine have curated a list of some of the most influential articles published by the journal over the past year.
https://immattersacp.org/weekly/archives/2022/01/18/5.htm
18 Jan 2022
MKSAP Quiz: Mass in right axilla
A 63-year-old woman is evaluated for a mass in her right axilla. She first noticed the mass 2 months ago. She has also had a persistent cough. She was diagnosed 3 years ago with stage IIB right breast cancer for which she underwent lumpectomy, chemotherapy, and breast irradiation. Following a physical exam, chest radiograph, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/11/23/3.htm
23 Nov 2021
Annual mammography after age 75 may not be beneficial; every other year has better cost/benefit ratio
A modeling study found that the very small number of deaths averted from breast cancer may be offset by costs and potential harms of overdiagnosis with mammography done annually after age 75 years.
https://immattersacp.org/weekly/archives/2021/11/23/4.htm
23 Nov 2021