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- ACP Online (7458)
- Annals of Internal Medicine (6906)
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- Annals of Internal Medicine: Clinical Cases (500)
Displaying 101 - 110 of 7458 in ACP Online
Physician Open Payments (Sunshine Rule)
The following information will help you and your staff understand the Physician Payment Sunshine Rule (also referred to as the National Physician Payment Transparency Program, or Open Payments), which requires transparency in defined payment relationships with physicians and teaching hospitals by applicable manufacturers and group purchasing organizations.
Overview and Compliance Resources for Anti-Kickback Regulations and Stark Law
On November 20, 2020, the Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS) jointly finalized changes to outdated federal regulations that have burdened health care physicians with added administrative costs and impeded the health care system’s move toward value-based reimbursement. The physician self-referral law (known as the Stark Law) generally prohibits a physician from making referrals to an entity for certain health care services if the physician has a financial relationship with the entity.
No Surprises Act
The No Surprises Act (NSA) prohibits balance billing insured patients who receive emergency or non-emergency services from out-of-network providers at in-network facilities for amounts greater than the patient’s in-network cost-sharing requirement for such services. The NSA also establishes a payment dispute resolution process and requirements to provide good faith estimates to uninsured or self-pay patients. (Note: This rule applies to private pay patients because Medicare and Medicaid already have protections agai
Regulatory Compliance for Medical Practices | ACP
Everything you need to know to stay compliant with federal regulations and avoid penalties.
Physician & Practice Timeline Professional Requirements & Opportunities | Key Deadlines and Target Dates to Remember | ACP
The Timeline is a helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements.
HIPAA
Maintain compliance with all HIPAA requirements by using ACP and HHS resources, guides and tools.
Regulatory Resources
Resources you need to navigate and comply with important dates, compliance requirements, and other system changes related to your practice of medicine. Physician & Practice Timeline A helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements. More on the Timeline
Displaying 101 - 110 of 6906 in Annals of Internal Medicine
These Annals of Internal Medicine results only contain recent articles.
- Visit annals.org to search all content back to 1927.
- View Annals of Internal Medicine CME by topic here.
Displaying 101 - 110 of 241 in ACP Store
ACP POCUS 10: Gallbladder
Learn about the indications, anatomic landmarks, transducer considerations and techniques, and other POCUS skills associated with scanning the gallbladder and analyze examples of pathologic findings that you may encounter during such work. This resource is part of the Advanced Point-of-Care Ultrasound (POCUS) series and will prepare you to participate in the American College of Physicians (ACP) live Practical POCUS Skills for Internal Medicine Physicians course. Completion of assigned online learning activities is required prior to arrival at ACP training courses. Visit the website for further information about ACP’s POCUS Pathway, a comprehensive collection of live, hands-on training options.
ACP POCUS 9: Abdominal Aortic Aneurysm
Work through using POCUS to scan for abdominal aortic aneurysms and abnormalities that you may encounter during scanning. This resource is part of the Advanced Point-of-Care Ultrasound (POCUS) series and will prepare you to participate in the American College of Physicians (ACP) live Practical POCUS Skills for Internal Medicine Physicians course. Completion of assigned online learning activities is required prior to arrival at ACP training courses. Visit the website for further information about ACP’s POCUS Pathway, a comprehensive collection of live, hands-on training options.
ACP POCUS 8: Skin/Soft Tissue and Musculoskeletal
Learn the principles of ultrasound imaging of skin, soft tissue, and the musculoskeletal system. Review probe settings and techniques; echogenicity in ultrasound images; and abnormalities related to skin, soft tissue, and the musculoskeletal system. This resource is part of the Advanced Point-of-Care Ultrasound (POCUS) series and will prepare you to participate in the American College of Physicians (ACP) live Practical POCUS Skills for Internal Medicine Physicians course. Completion of assigned online learning activities is required prior to arrival at ACP training courses. Visit the website for further information about ACP’s POCUS Pathway, a comprehensive collection of live, hands-on training options.
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Soft Shell Jacket - Unisex
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Soft Shell Women Jacket
High Value Care Cases Bundle
ACP High Value Care Cases Learn ACP’s 5-step framework to help eliminate unnecessary health care costs and improve patient outcomes while earning CME and ABIM MOC patient safety and medical knowledge points.
High Value Care Cases 4: Care Setting and Cost
ACP High Value Care Cases Learn ACP’s 5-step framework to help eliminate unnecessary health care costs and improve patient outcomes while earning CME and ABIM MOC patient safety and medical knowledge points.
High Value Care Cases 3: Diagnostic Processes
ACP High Value Care Cases Learn ACP’s 5-step framework to help eliminate unnecessary health care costs and improve patient outcomes while earning CME and ABIM MOC patient safety and medical knowledge points.
High Value Care Cases 2: The Cost of Care
ACP High Value Care Cases Learn ACP’s 5-step framework to help eliminate unnecessary health care costs and improve patient outcomes while earning CME and ABIM MOC patient safety and medical knowledge points.
High Value Care Cases 1: Eliminating Health Care Waste
ACP High Value Care Cases Learn ACP’s 5-step framework to help eliminate unnecessary health care costs and improve patient outcomes while earning CME and ABIM MOC patient safety and medical knowledge points.
Displaying 101 - 110 of 3165 in IM Matters
Displaying 101 - 110 of 2449 in ACP Hospitalist
Displaying 101 - 110 of 500 in Annals of Internal Medicine: Clinical Cases
Presentation and Management of Thyroid Involvement in Systemic and Primary Thyroid Lymphoma: A Case Series | Annals of Internal Medicine: Clinical Cases
This case series describes 4 female patients with thyroid lymphoma, including 3 primary thyroid lymphomas and 1 secondary thyroid involvement due to Burkitt lymphoma. Identified within a cohort of 878 lymphoma patients (2018–2022), primary thyroid lymphomas represented a 0.5% prevalence. Cervical ultrasound, computed tomography, or magnetic resonance imaging revealed thyroid abnormalities. Fine-needle aspiration biopsy followed by biopsy confirmed diagnoses. Positron emission tomography with 18F-fluorodeoxyglucose (FDG-PET) highlighted metabolic activity correlating with aggressiveness. This series emphasizes the complementary roles of imaging and pathology in diagnosis and highlights the importance of a multidisciplinary approach to managing these rare malignancies.
Intentional Nitrite Ingestion: Clinical Presentation and Emergency Management in a Young Female Patient | Annals of Internal Medicine: Clinical Cases
Sodium nitrite (NaNO₂) is an inorganic salt used in food preservation and industrial products, recently implicated in self-harm due to its easy online availability. We report a case of severe methemoglobinemia in a 20-year-old woman following sodium nitrite ingestion in a suicide attempt. The patient presented with cyanosis, hypotension, and elevated methemoglobin levels (64.1%). After poison control consultation, activated charcoal and methylene blue were administered, resulting in rapid clinical improvement and normalization of methemoglobinemia. This case emphasizes the importance of early recognition and treatment of sodium nitrite poisoning, highlighting the life-saving role of methylene blue.
A Case of Bromism Influenced by Use of Artificial Intelligence | Annals of Internal Medicine: Clinical Cases
Ingestion of bromide can lead to a toxidrome known as bromism. While this condition is less common than it was in the early 20th century, it remains important to describe the associated symptoms and risks, because bromide-containing substances have become more readily available on the internet. We present an interesting case of a patient who developed bromism after consulting the artificial intelligence–based conversational large language model, ChatGPT, for health information.
Subarachnoid Racemose Neurocysticercosis in a Patient From India: A Case Report | Annals of Internal Medicine: Clinical Cases
Neurocysticercosis is endemic in Latin America, Africa, and Asia. However, the subarachnoid form is a rare manifestation of neurocysticercosis that often is overlooked. Subarachnoid racemose neurocysticercosis consists of the proliferation of lobulated cysts and can present with headaches, intracranial hypertension, and infarcts. We report a rare case of subarachnoid racemose neurocysticercosis in a patient from India. She showed improvement on clinical and radiologic testing after initiation of high-dose steroids and dual anthelmintic therapy.
Immune Checkpoint Inhibitor–Induced Sicca Syndrome: Early Recognition Is Key | Annals of Internal Medicine: Clinical Cases
Dry mouth and eyes (sicca syndrome) is an underreported side effect of immune checkpoint inhibitors (ICIs), which can be debilitating and significantly impact the quality of life. With the increased use of ICIs, it is imperative to recognize this adverse event and initiate prompt treatment.
Perimesencephalic Hemorrhage: Illustrative Case Report Involving “Spot Sign” | Annals of Internal Medicine: Clinical Cases
Nonaneurysmal perimesencephalic hemorrhage (PMSAH) is a form of subarachnoid hemorrhage with a generally favorable prognosis. The majority of PMSAH cases present with normal cerebral angiography with an unknown exact source of bleeding. However, it is classically thought to be venous in origin. We present a rare case of active or recent venous prepontine “spot sign” extravasation of a 59-year-old man, identified on admission computed tomography angiography but negative on catheter-based angiography and follow-up imaging, strongly suggesting an evident venous cause.
Acute Legionnaires’ Disease–Associated Complete Heart Block | Annals of Internal Medicine: Clinical Cases
Legionnaires’ disease is a systemic disease caused by Legionella species that predominantly affects the lungs; however, extrapulmonary manifestations including cardiac involvement have been reported. We present a case of a 79-year-old woman who presented with cough, reduced appetite, and syncope and was found to be in third-degree atrioventricular block. The patient had a positive urine Legionella antigen with a finding on computed tomography of the chest of bilateral infiltrates. Despite antibiotic therapy, permanent pacemaker was implanted for persistent complete heart block. At 2-week follow-up, however, patient had regained intrinsic conduction. This case highlights Legionnaires’ disease as a potential reversible cause of complete heart block.
Meningoencephalitis Caused by Tick-Borne Encephalitis Virus in a Returning Traveler, United States, 2023 | Annals of Internal Medicine: Clinical Cases
We describe a case of meningoencephalitis caused by tick-borne encephalitis (TBE) virus in a traveler returning to the United States presenting with fever, headaches, neck stiffness, encephalopathy, and aphasia. This case highlights the importance of obtaining a travel history and use of the TBE vaccine as appropriate for patients who are at risk for TBE.
Frog Egg Tongue | Annals of Internal Medicine: Clinical Cases
A 5-year-old girl presented with progressive macroglossia, speech difficulties, and pain from repeated tongue trauma over the past 3 months. Clinical examination revealed diffuse tongue swelling, papillitis, and multiple raised red lesions on the ventral surface. Blood test results were normal and diascopy finding was negative. Clinical and histologic findings confirmed oral tongue lymphangioma, showing dilated lymphatic channels and congested blood vessels. Although surgical reduction was recommended, the patient's mother declined it. Follow-up at 6, 12, and 24 months showed no changes in the lesions. This case of lingual lymphangioma was useful in differential diagnosis as it mimicked other oral pathologies.
Multifocal Intestinal Extranodal Marginal Zone Lymphoma Presenting With Autoimmune Hemolytic Anemia: A Case Report | Annals of Internal Medicine: Clinical Cases
Extranodal marginal zone lymphoma of the intestine is a rare, indolent non-Hodgkin lymphoma that often presents with nonspecific symptoms, making diagnosis challenging. We report a 74-year-old woman who presented with severe anemia attributable to autoimmune hemolytic anemia. Imaging revealed splenomegaly and intestinal wall thickening, whereas subsequent endoscopy showed ulcerated lesions in the ileocecal valve, transverse colon, and descending colon. Biopsy results confirmed extranodal marginal zone lymphoma. Treatment with the R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) regimen led to partial remission of the lymphoma and complete resolution of autoimmune hemolytic anemia.