Highlights from ACP Internist and
ACP Internist (formerly ACP Observer) September 2009
- Unmasking the patient's hidden agenda
Something about a response of ‘so-so’ triggers Ian Gilson, FACP, to delve further into how a patient is feeling—and a potentially suicidal hidden agenda.
- Look for subtle differences when evaluating acute diarrhea
For the few cases of diarrhea severe enough to warrant medical attention, consider infections, toxicity, food allergies and medicine reactions, says a speaker from Internal Medicine 2009.
- MS confounds, calls for better coordination
Internists are closely involved in care for multiple sclerosis, from recognizing symptoms to preventing complications. As the first line of defense, primary care physicians can find reassurance in guidance from a recent consensus paper on differential diagnosis.
ACP Hospitalist September 2009
- A devotion to patients that springs from gratitude
For Suren Pathman, MD, doctoring is all about service.
- Spontaneous awakening trials: How to increase adherence in the ICU
Research is one thing, and practice quite another. It’s been nine years since a New England Journal of Medicine study showed ICU patients recover more quickly when their sedation medication is routinely stopped. It’s been over a year and a half since a Lancet study found that combining this practice, called spontaneous awakening trials, with spontaneous breathing trials further decreased patients’ time on mechanical ventilation and in the ICU. Yet a sizable number of hospitals still don’t do it.
- Treatment on the fly: Mobile units help hospitals boost surge capacity
Portable “MASH-like” hospital units are helping communities across the country improve their ability to respond to disasters and other events requiring extra capacity.
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