Search Results for ""
- ACP Online (7458)
- Annals of Internal Medicine (6906)
- ACP Store (241)
- IM Matters (3165)
- ACP Hospitalist (2449)
- Annals of Internal Medicine: Clinical Cases (500)
Displaying 111 - 120 of 7458 in ACP Online
QI for Healthcare: Quality Improvement Curriculum | ACP Advance
ACP's Quality Improvement curriculum offers a practical approach that guides you through the stages of implementing QI in healthcare. Learn more today.
COVID-19 Recovery: Promoting Well-being in Residency Programs through Quality Improvement Coaching
This webinar recording features panel presentations from resident champions who share how working with a QI coach helped them achieve their quality goals and promoted well-being during the COVID-19 pandemic, followed by
Using the ACP Diabetes Platform (MedConcert) to ImproveDiabetes Care
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
Understanding New Lipid and Hypertension Guidelines
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
The Basics of Quality Improvement
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
Shared Decision-Making
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
Quality Improvement Training Program for Residents in Adult Immunization
Quality Improvement Training Program for Residents in Adult Immunization Webinar.
Practice Transformation in Chronic Care Management
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
New PCMH Requirements for NCQA
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
Helping the patient with "diabetes difficulties": Focus onpatients with A1c >9%
Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.
Displaying 111 - 120 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 111 - 120 of 241 in ACP Store
Module 3: Understanding and Addressing Disparities in Diagnosis: Case 2
Module 3: Understanding and Addressing Disparities in Diagnosis: Case 2
Module 2: Understanding and Addressing Disparities in Diagnosis: Case 1
Module 2: Understanding and Addressing Disparities in Diagnosis: Case 1
Module 1: Understanding and Addressing Disparities in Diagnosis
Module 1: Understanding and Addressing Disparities in Diagnosis
POCUS Course Bundle
The POCUS Pathway Bundle includes the following courses: Foundational Skills for Internal Medicine Physicians This hands-on 2-day course is designed to teach core POCUS skills to internal medicine physicians, centering on the needed skills to use ultrasound as a patient assessment tool in a variety of settings. POCUS Mentorship Program Build on your point-of-care ultrasound (POCUS) learning and become increasingly proficient in practice. This live, virtual course provides highly-personalized, 1:1 POCUS training through expert mentorship to help Internal Medicine Physicians solidify and advance skills, with training that is customized to your learning needs. Practical POCUS Skills for Internal Medicine Physicians Continue your POCUS training and expand your outpatient clinical assessment skills with 1-day advanced, hands-on POCUS training from expert faculty. Topics include a PEARLS approach to a multisystem ultrasound physical, AAA screening, skin and soft tissue, and musculoskeletal ultrasound. Plus full access to ACP’s POCUS online curriculum (14+ hrs. of content). Purchasers of the POCUS Pathway Bundle will be granted early access to register for these courses. Here’s how it works: · Pay for the bundle now to access member-exclusive savings · You’ll be notified when course registration opens · When you register for a course, the amount due will be $0 · Your bundle purchase has no expiration date so you can register based on your scheduled preferences
ACP Blue & Green Plaid Bowtie
New Style!
ACP Blue Stripes Bowtie
New Style!
ACP Green Stripes Bowtie
New Style!
ACP Gray Computer Backpack
ACP Gray Computer Backpack
Intimate Partner Violence: Educating and Connecting
This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Educating and ConnectingACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.
Intimate Partner Violence: Dynamics and Effects
This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Dynamics and EffectsACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.
Displaying 111 - 120 of 3165 in IM Matters
Displaying 111 - 120 of 2449 in ACP Hospitalist
Displaying 111 - 120 of 500 in Annals of Internal Medicine: Clinical Cases
Below the Surface: Genetic Underpinnings and Clinical Manifestations of Familial Multiple Lipomatosis | Annals of Internal Medicine: Clinical Cases
Familial multiple lipomatosis is a rare genetic disorder marked by multiple benign lipomas, often causing cosmetic concerns and, less commonly, functional impairment. We report a 63-year-old man with more than 50 lipomas on his thighs, abdomen, and arms. His unique family history, with male-only penetrance along the maternal lineage, suggests a deviation from typical autosomal dominance, and a novel inheritance pattern that has never been reported on previously, to our knowledge, in the literature. This case and literature review highlights the diagnostic challenges of familial multiple lipomatosis and the need for a multidisciplinary approach involving surgical options, genetic counseling, and psychological support.
Life-Threatening Septic Shock After Bacillus Calmette-Guérin Instillation: A Case Report and Literature Review | Annals of Internal Medicine: Clinical Cases
Intravesical Bacillus Calmette-Guérin (BCG) therapy is widely used as adjuvant treatment of nonmuscle invasive bladder cancer after transurethral resection, but it can lead to severe complications such as disseminated BCG sepsis. We report the case of a 63-year-old man who developed BCG sepsis postinstillation, which required intensive care support. Positive blood cultures for Mycobacterium tuberculosis complex prompted a 6-month course of antimycobacterial therapy. This case emphasizes the importance of recognizing BCG-induced sepsis in patients with persistent fever and underscores the need for the cautious administration of BCG. Current management strategies focus on early diagnosis and individualized treatment, although evidence remains limited.
Large Pericardial Effusion Without Tamponade in a Patient With Severe Hypothyroidism and Iron Deficiency Anemia | Annals of Internal Medicine: Clinical Cases
A 46-year-old woman with untreated hypothyroidism and severe iron deficiency anemia presented with progressive dyspnea and was found to have a large pericardial effusion extending across the thoracic cavity. Pericardiocentesis and treatment with thyroid hormone and iron supplementation led to symptom resolution, underscoring the need for metabolic evaluation in pericardial effusions.
Negative for AL and ATTR: Could It Still Be Amyloid? | Annals of Internal Medicine: Clinical Cases
Amyloidosis is a systemic disease characterized by the extracellular deposition of misfolded proteins. We present a rare case of familial amyloidosis with multiorgan involvement. A 68-year-old woman initially presented with shortness of breath and syncope. Past medical history included chronic kidney disease, skin bronzing, and macroglossia. An echocardiogram revealed asymmetric septal hypertrophy, which prompted serum marker testing for common forms of amyloidosis. These tests returned negative for light-chain and transthyretin amyloidosis. Later genetic testing confirmed an APOA1 gene mutation. This case highlights the importance of considering hereditary forms of amyloidosis, particularly when tests for light-chain and transthyretin amyloidosis are negative.
Severe Aortopathy Caused by Fabry Disease | Annals of Internal Medicine: Clinical Cases
The involvement of the aorta in Fabry disease (FD) is not uncommon, but the need for a surgical intervention and description of its potential results are rare. Pathology of the affected aortic wall is still unavailable. We report severe aortopathy caused by FD refractory to long-term (16-year agalsidase alpha) enzyme replacement therapy and progressing to a large aneurysm (56 mm) of the aortic root requiring surgical repair. We describe the pathology of the aortic wall, including globotriaosylceramide (Gb3) accumulation in the smooth muscle cells, large areas of fatty infiltration, and foci of lymphocytic inflammation as an immune-mediated reaction to Gb3 secretion.
When Supplements Turn Dangerous: Glucocorticoid-Induced Adrenal Insufficiency From Hidden Steroids | Annals of Internal Medicine: Clinical Cases
We report a case of glucocorticoid-induced adrenal insufficiency following the use of 3 different herbal supplements containing hidden steroids. The patient presented with nonspecific symptoms, including fatigue and gastrointestinal upset, complicating diagnosis. These supplements contributed to life-threatening infections and hemorrhagic shock from an upper gastrointestinal bleed. This case emphasizes the clinical challenges and health risks associated with the use of unregulated supplements. Many patients consider these supplements safe; however, they may contain ingredients that pose serious health threats. Increased awareness, comprehensive history, and careful diagnostic approaches are crucial in effectively managing such cases.
Skin-Limited IgA Vasculitis: A Unique Presentation in an Adult Without Renal Involvement | Annals of Internal Medicine: Clinical Cases
We describe a rare case of skin-limited immunoglobulin A vasculitis (IgAV) in an adult with polycythemia vera (PV), a myeloproliferative neoplasm more commonly associated with IgA nephropathy (IgAN) than IgAV. Diagnosis was confirmed by biopsy showing IgA-dominant leukocytoclastic vasculitis without systemic involvement. Our patient was treated supportively for IgAV and with ruxolitinib for PV, with resolution of skin findings and no systemic progression. Although vasculitis is more commonly associated with myelodysplastic syndromes, its occurrence with PV is rare. Careful evaluation for renal involvement in IgAV is essential to guide management and to monitor for systemic progression, particularly renal manifestations.
When the Treatment Becomes the Problem: A Case of Paradoxical Case Effects of IVIG | Annals of Internal Medicine: Clinical Cases
Intravenous immunoglobulin (IVIG) is commonly used for immunomodulation in autoimmune diseases but can induce rare complications, such as hemolytic anemia. We report a case of a 19-year-old woman with Crohn disease complicated by pyoderma gangrenosum, presenting with IVIG-induced hemolytic anemia and a distinctive rash. Following two doses of IVIG, she experienced headaches, rash, and tachycardia. Laboratory findings showed anemia, hyperbilirubinemia, and a positive Coombs test. She was managed with supportive care. This case underscores the need for vigilant monitoring for hemolysis in patients receiving IVIG, especially those with cumulative doses and underlying inflammatory conditions.
Hepatic Epithelioid Hemangioendothelioma: A Case Report Emphasizing Diagnostic Challenges | Annals of Internal Medicine: Clinical Cases
Hepatic epithelioid hemangioendothelioma is a rare vascular tumor with variable clinical features, often leading to delayed diagnosis. We report a 40-year-old man presenting with abdominal distention and significant weight loss. Initial evaluations suggested cirrhosis and vascular pathologies, such as Budd–Chiari syndrome. Subsequently, liver biopsy confirmed hepatic epithelioid hemangioendothelioma. A positron emission tomography–computed tomography scan showed liver, bone, and possible colon involvement. Despite planning chemotherapy, the patient died before treatment initiation. This case highlights the importance of considering hepatic epithelioid hemangioendothelioma in the differential diagnosis of unexplained multifocal liver lesions, especially in middle-aged adults.
Cutaneous Metastasis of Pulmonary Adenocarcinoma | Annals of Internal Medicine: Clinical Cases
Lung cancer remains a leading cause of malignancy-related mortality among adults worldwide. Metastasis of primary lung adenocarcinoma to the skin is rare, morphologically heterogeneous, and may affect any body site. Cutaneous metastases portend a poor prognosis with worsened survival rates. The diagnosis is typically established via histopathology with supportive immunohistochemistry. Treatment varies based on the extent of involvement.