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Cannabis and ACE Inhibitors in the Perioperative Period
The Annals Consult Guys discuss the care of a patient who recently smoked marijuana and took an ACE inhibitor, suffered a fall, and now needs urgent hip repair.
Can You Stop Heart Failure Medications if the Ejection Fraction Recovers?
The Annals Consult Guys discuss whether it is safe to discontinue heart failure medications in a patient whose ejection fraction has recovered after treatment of heart failure with reduced ejection fraction as a result of idiopathic dilated cardiomyopathy.
Breast Cancer Screening: Guidance From the American College of Physicians
In this episode of Annals On Call, Dr. Centor discusses the American College of Physicians' guidance on breast cancer screening with Dr. Carolyn Crandall.First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.
Breast Cancer Screening and Prevention
Breast cancer is the most common cancer among U.S. women and its incidence increases with age. Endogenous estrogen exposure, proliferative benign breast disease, breast density, and family history may also indicate increased risk for breast cancer. Early detection with screening mammography reduces breast cancer mortality, but the net benefits vary by age. Assessing a patient’s individual breast cancer risk can guide decisions regarding breast cancer screening. All women benefit from healthy behaviors which may reduce breast cancer risk.
Blood Cultures: How Many Are Enough?
The Annals Consult Guys discuss the optimal timing and number of blood cultures required when endocarditis is the suspected cause of a patient's illness.
Best Practices in Caring for Seriously Ill Patients
Palliative care (PC) is the art and science of providing goal-concordant care, skillfully managing complex and refractory pain and nonpain symptoms, mitigating suffering, and augmenting quality of life for seriously ill patients throughout the course of the illness trajectory. The primary team should provide generalist PC for all seriously ill patients and know when to refer patients to specialist PC. Specialty-level PC services should be reserved for complex problems beyond the scope of primary PC. This article reviews principles and best practices to support patient-centered PC.
Back Pain: Get Your Patient Back in the Game
Obidiugwu Kenrik Duru, MD, MSHS, discusses the prevalence, assessment and treatment of acute and chronic low back pain. This session was originally presented at IMM 2019. The 2024 rerelease of ACP's modules within the Pain Management Learning Series includes updated information and provides additional learning and credit earning opportunity for learners who claimed credit for earlier versions. CME/MOC credit are free to ACP Members. Nonmembers may purchase access to claim CME/MOC credit for $25.
Atrial Fibrillation: When Ablation Is the Way to Go
In this episode of Annals On Call, Dr. Centor discusses the role of ablation in the management of patients with atrial fibrillation with Dr. Peter Zimetbaum. First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.
Atrial Fibrillation
Evidence for diagnosis and treatment of atrial fibrillation (AF) has expanded substantially since 2017, when In the Clinic last considered this subject. Direct oral anticoagulants have become the predominant therapy for thromboembolic disease, and antidotes for these drugs are now available. Device-based left atrial appendage occlusion is frequently used in patients who cannot tolerate systemic anticoagulation, and growing evidence suggests that early rhythm control improves outcomes. Catheter ablation is now frequently performed to prevent recurrent AF.
Atopic Dermatitis
Atopic dermatitis affects approximately 10% of the U.S. population and is more common in children than adults. Up to 99% of physician visits for atopic dermatitis are in primary care. Most cases can be managed successfully with topical treatments, including moisturizers and prescription anti-inflammatory treatments, such as corticosteroids, calcineurin inhibitors, phosphodiesterase-4 inhibitors, Janus kinase (JAK) inhibitors, and aryl hydrocarbon receptor agonists.