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Racial Health Disparities, Prejudice and Violence

Racial disparities, discrimination, harassment & violence are public health issues. Learn how ACP is committed to combatting racial disparities in health care.

Lid Lifter Versus Renal Tissue: A Case of Disseminated Zygomycosis | Annals of Internal Medicine: Clinical Cases

We present a case of a man in his forties with hereditary hemochromatosis who presented with abdominal pain and discolored urine. Further work-up revealed bilateral hydronephrosis secondary to fungal bezoars requiring a prolonged posaconazole course. This case highlights the rarity of bilateral fungal bezoars while also providing insight into atypical causes of hydronephrosis in the adult population.

Diffuse Large B-Cell Lymphoma Presenting as Aortic Aneurysm Rupture: A Case Report | Annals of Internal Medicine: Clinical Cases

We present a rare case of diffuse large B-cell lymphoma (DLBCL) mimicking an abdominal aortic aneurysm rupture. A 78-year-old male with prior endovascular aneurysm repair presented with abdominal pain, hypotension, and renal failure. Imaging revealed a periaortic mass concerning for aneurysm leak; however, PET/CT and biopsy confirmed DLBCL. This case underscores the diagnostic challenge posed by periaortic lymphoma masquerading as vascular emergencies. Clinicians should maintain a broad differential, as early recognition may avoid unnecessary surgery and enable appropriate oncologic management.

Progressive Limb Weakness in Bilateral Medial Medullary Infarction | Annals of Internal Medicine: Clinical Cases

This case study analyzes the clinical and imaging features of a patient with progressive bilateral medial medullary infarction (BMMI). The patient was a 58-year-old man who presented with progressively worsening numbness and weakness in all 4 limbs as the main manifestation, with a complete absence of symptoms and signs of cranial nerve involvement. Magnetic resonance imaging diffusion-weighted imaging revealed linear and small patchy high signal intensities, presenting a “heart-shaped” configuration. A diagnosis of progressive BMMI was made. The patient's condition improved after comprehensive treatment, including antiplatelet aggregation therapy, plaque stabilization, and rehabilitation.

Atypical Pediatric Impetigo Masked by Witch Hazel and Topical Corticosteroids | Annals of Internal Medicine: Clinical Cases

Superficial bacterial skin infections in children typically present with easily recognizable lesions. However, topical corticosteroids and home remedies can alter their appearance, leading to misdiagnosis. We present a 3-year, 11-month-old girl with a nasal-tip lesion initially treated with witch hazel and over-the-counter hydrocortisone. The lesion lacked classical honey-colored crusting, complicating diagnosis. Treatment with topical mupirocin and oral clindamycin for 7 days resulted in complete resolution. The modified presentation was consistent with impetigo incognito, a steroid-altered form of impetigo. This case underscores the need for clinicians to inquire about nonprescription treatments and recognize altered presentations of common infections.

ACP Mace Insignia Silk Neck Ties

$25 per each Mace Insignia tie.

Sandy Shoichet Clinical Vignette Resident Travel Fund

Support the Sandy Shoichet Clinical Vignette Resident Travel Fund We invite you to consider a donation to the Sandy Shoichet Clinical Vignette Resident Travel Fund. Dr. Shoichet was a long-standing member of the Michigan Chapter, a dedicated participant on the Governor’s Council, and a long-time Chair of both the Program Director Committee and the Nominations Committee. His passion for education, steadfast support of the Chapter’s work, and commitment to developing future internists shaped generations of trainees. This fund will provide annual support for the top resident clinical vignette winner to travel to the National ACP Internal Medicine Meeting to present their work Any amount makes a meaningful difference. Thank you for your support.

ACP POCUS 3: Focused Cardiac Ultrasound

ACP POCUS 3: Focused Cardiac Ultrasound

ACP POCUS: Lung Ultrasound

ACP POCUS: Lung Ultrasound

ACP POCUS: Obtaining Adequate Clinical Images for Interpretation

ACP POCUS: Obtaining Adequate Clinical Images for Interpretation

ACP Physician Peer Coaching - QI Champion Bundle

Receive up to 6 hours of personalized, one-on-one coaching support focused on quality improvement over 6-months with an ACP Physician Peer Coach. This program offers: Registration to the Quality Improvement Leadership Training Pre-course held on Wednesday, April 15, 2026 in San Francisco, CA in conjunction with the 2026 ACP Internal Medicine Meeting Live, virtual coaching sessions with your coach (6 hours)

ACP Quality Improvement Curriculum All 4 Together

ACP Quality Improvement Curriculum All 4 Together

ACP QI Curriculum Module 4: Implement and Sustain Change

ACP Quality Improvement Curriculum The ACP Quality Improvement curriculum focuses on simple, core concepts that can be applied to help achieve meaningful quality goals in a practical manner. A step-wise approach guides you through each stage of the QI journey from establishing the “what” and “why” for change to implementing and sustaining change. This online curriculum, developed by physicians for physicians and their teams, is offered as a series of four modules. Physicians who complete all four modules are eligible for up to3.75 AMA PRA Category 1 CreditsTM and ABIM MOC points. Physicians are also eligible to earn patient safety credit.

ACP QI Curriculum Module 3: Plan for Change and Identify Solutions

ACP Quality Improvement Curriculum The ACP Quality Improvement curriculum focuses on simple, core concepts that can be applied to help achieve meaningful quality goals in a practical manner. A step-wise approach guides you through each stage of the QI journey from establishing the “what” and “why” for change to implementing and sustaining change. This online curriculum, developed by physicians for physicians and their teams, is offered as a series of four modules. Physicians who complete all four modules are eligible for up to3.75 AMA PRA Category 1 CreditsTM and ABIM MOC points. Physicians are also eligible to earn patient safety credit.