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Displaying 131 - 140 of 7458 in ACP Online

Resident Well-being Learning Hub

ACP’s online Resident Well-being Learning Hub connects residents with evidence-based strategies to foster well-being and mitigate burnout and promote the value of collaborative learning environments and positive social interaction.

Positive Psychology in Times of Crisis

Kerri Palamara, MD, FACP, Director of the Center for Physician Well-being at Massachusetts General Hospital and Physician Coaching Services Lead for ACP, presents positive psychology strategies to use in a time of crisis. Dr. Palamara shares ideas from the coaching world including focusing on three good things, pausing to breathe, happiness boosters, sharing stories with colleagues, and more. Many of you are being asked to support the well-being of others right now.

Leveraging Professional Societies to Boost Your Professional Growth

This activity explores how intentionally leveraging professional societies can help accelerate career growth. Discover the strategic framework of People, Opportunities, and Perspective, and identify practical next steps to support your lifelong professional development using the enclosed Career Stage Playbook.

Draft Your Personal Mission Statement to Enhance Professional Fulfillment

Explore ways to define and use your unique mission statement to help guide your career and life decisions.

Connecting with Your Agency “The Art of Saying No”

This session reveals insights into the impact of over-commitment and the challenges of being unable to say no on your career and well-being. Discover tools and techniques to assess priorities and communicate assertively to enhance your work-life integration without compromising your professional integrity.

Conflict Management: Communicating Needs for Productive Outcomes

In this micro-session, Maria Maldonado, MD, FACP, Well-being Champion for the New York ACP Chapter and Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai, guides you through using the Nonviolent Communication model to articulate the relationship between feelings and needs and help you and colleagues reach your goals with steps and a complement self-guided exercise towards conflict resolution for win-win outcomes.

Mini But Mighty Skills

Learn actionable skills in just 10-15 minutes. The following short videos and multimedia resources meet clinicians’ just-in-time and ongoing change needs and apply to systems, organizations, and individuals.Featured Mini SkillsFeatured Micro Skills (2 mins or less)

Individual Physician Wellness and Burnout Tools | ACP

Wondering how to help physician burnout? Our physician burnout tools consist of Podcasts, TED Talks, blogs & more to improve physician wellness. Start now.

Implementing and Sustaining Change Efforts

Use these resources to implement and sustain change efforts.Quality Improvement CurriculumThe ACP Advance Quality Improvement (QI) healthcare curriculum offers a practical, step-wise approach that 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.Learn More

Self-Advocacy Resources for Residents and Fellows

As trainees, you may experience situations that cause concern and require intervention to come to a resolution. The following resources provide you with practical tips on how to advocate for yourself and address concerns using the appropriate chain of escalation.

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Displaying 131 - 140 of 241 in ACP Store

ACP Pain Management: Knee Cases

ACP Pain Management: Knee Cases

ACP Pain Management Module 7: Opioid Use Disorder

ACP Pain Management Module 7: Opioid Use Disorder

ACP Pain Management Module 6: Opioid Therapy

ACP Pain Management Module 6: Opioid Therapy

ACP Pain Management Module 5: Non-Opioid Therapy

ACP Pain Management Module 5: Non-Opioid Therapy

ACP Pain Management Module 4: Non-Pharmacologic Therapy

ACP Pain Management Module 4: Non-Pharmacologic Therapy

ACP Pain Management Module 3: Pain Management Principles

ACP Pain Management Module 3: Pain Management Principles

ACP Pain Management Module 2: Pain Assessment

ACP Pain Management Module 2: Pain Assessment

ACP Pain Management Module 1: Pain Fundamentals

ACP Pain Management Module 1: Pain Fundamentals

Obesity Management 3: Metabolic and Bariatric Surgery

Obesity Management 3: Metabolic and Bariatric Surgery

Obesity Management 2: Pharmacotherapy

Obesity Management 2: Pharmacotherapy

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Displaying 131 - 140 of 500 in Annals of Internal Medicine: Clinical Cases

Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody | Annals of Internal Medicine: Clinical Cases

This case series reports 3 patients who were diagnosed with type 2 diabetes mellitus (T2DM), treated with oral antidiabetic medications, referred to our endocrinology clinic due to poor glycemic control, and were diagnosed with latent autoimmune diabetes of adults due to the isolated presence of ZnT8 antibody. Our cases highlight a few important learning points, such as maintaining a high degree of suspicion for the development of autoimmunity in a patient with T2DM with progressive or rapid worsening in glycemic control and the need to include the ZnT8 antibody in the panel of other diabetes antibodies during the work-up for autoimmune DM.

Intraocular Melanoma as an Initial Presentation of Birt–Hogg–Dubé Syndrome | Annals of Internal Medicine: Clinical Cases

Birt–Hogg–Dubé syndrome is a rare autosomal-dominant genodermatosis that affects approximately 2 in every 1 million people. A 68-year-old man presented to his yearly wellness visit with concerns of intermittent sensations and blurriness in his left eye, prompting referral to the ophthalmology department. Fundoscopic examination revealed an intraocular mass and a diagnosis of choroidal melanoma in the left eye was made. The patient received radiation therapy. The patient was referred to a geneticist, who detected a heterozygous germline pathogenic variant in FLCN: c.1389C>G (p.Tyr463*). It is important to incorporate a multidisciplinary approach, including a geneticist, to appropriately manage further work-up.

Cerebral Proliferative Arteriopathy Secondary to Extracranial Carotid Stenosis | Annals of Internal Medicine: Clinical Cases

Cerebral proliferative arteriopathy (CPA) is a rare vascular malformation distinct from arteriovenous malformations. Although arterial stenoses in CPA are thought to develop later, we hypothesize some cases may result from preexisting stenosis causing ischemia and vascular proliferation. A 7-year-old boy with a history of biliary atresia and a traumatic jugular line insertion presented with recurrent left hemiparesis. Magnetic resonance imaging and cerebral angiography revealed a pinhole stenosis in the right internal carotid artery and CPA features. This case suggests CPA may be a secondary maladaptive response to chronic ischemia in certain patients.

Ocrelizumab-Related Organizing Pneumonia: A Rare Pulmonary Complication in Multiple Sclerosis | Annals of Internal Medicine: Clinical Cases

We report a case of organizing pneumonia induced by ocrelizumab in a 65-year-old man with multiple sclerosis. The patient presented with persistent fever and progressive respiratory symptoms despite broad-spectrum antibiotic treatment. Chest imaging revealed diffuse ground-glass opacities, and a transbronchial biopsy confirmed organizing pneumonia. Corticosteroid therapy led to marked clinical improvement, and ocrelizumab was discontinued. This case highlights the importance of recognizing drug-induced organizing pneumonia in patients receiving immunomodulatory therapy, particularly when standard antibiotic treatments fail. Early identification and corticosteroid intervention are critical to avoid further complications.

Gallbladder Ascariasis After Acute Pancreatitis Due to Parasitic Migration | Annals of Internal Medicine: Clinical Cases

A 30-year-old woman presented with acute pancreatitis, initially showing gallstones and peripancreatic fluid on ultrasound. A follow-up ultrasound, after symptom persistence, revealed mobile, tubular hyperechoic structures in the gallbladder; biliary ascariasis was diagnosed. The appearance of Ascaris lumbricoides as a thick, echogenic structure without acoustic shadowing confirmed the parasitic migration. Treatment with albendazole resolved the symptoms within 72 hours. A subsequent ultrasound verified the absence of ascariasis, confirming the diagnosis and treatment success.

Concurrent Presentation of Posterior Reversible Encephalopathy Syndrome and Spontaneous Coronary Artery Dissection in a Postpartum Patient Without Traditional Risk Factors: A Case Report | Annals of Internal Medicine: Clinical Cases

Posterior reversible encephalopathy syndrome (PRES) and spontaneous coronary artery dissection (SCAD) are rare, life-threatening postpartum conditions, often linked to hypertensive disorders or hormonal changes. Their co-occurrence without traditional risk factors is exceptionally rare. We report a 29-year-old woman without hypertension who developed PRES and SCAD on postoperative day 1 after an uncomplicated cesarean delivery. She presented with altered mental status, seizure-like activity, and chest pain. Magnetic resonance imaging confirmed PRES, whereas coronary angiography identified SCAD. Management included the administration of levetiracetam for PRES and aspirin, beta-blockers, and an angiotensin-converting enzyme inhibitor for SCAD. This case highlights diagnostic challenges and the need for further research into shared mechanisms like endothelial dysfunction.

Cervical Paraspinal Pyomyositis Arising From Severe Allergic Contact Dermatitis to Hair Dye | Annals of Internal Medicine: Clinical Cases

A 70-year-old woman presented to the emergency department with painful posterior neck swelling and fever. Examination demonstrated a large, inflamed plaque across her posterior neck. Diagnostic evaluation revealed cervical paraspinal pyomyositis from methicillin-resistant Staphylococcus aureus as a likely complication of relative immunosuppression and significant excoriation from severe allergic contact dermatitis to p-phenylenediamine, a chemical found in hair dye. This case highlights the importance of considering pyomyositis as a potential diagnosis in patients presenting with painful muscle swelling and fever in the setting of significant skin abrasion and excoriation.

Cervical Syphilitic Lymphadenitis in Initially Suspected Malignant Disease | Annals of Internal Medicine: Clinical Cases

A woman presented to our hospital with cervical lymph node enlargement and was suspected of having a malignancy, most likely lymphoma. Consequently, we scheduled a lymph node biopsy; however, additional hematologic rapid plasma reagin and treponema pallidum hemagglutination tests were positive. This case was challenging to diagnose as the only symptom of syphilis was enlarged cervical lymph nodes. Therefore, syphilis should be considered in the differential diagnosis of patients presenting with cervical lymphadenopathy.

Post-Myocardial Infarction Free-Wall Rupture Contained by Pericardial Adhesions With Development of LV Pseudoaneurysm, Successful Palliative Treatment | Annals of Internal Medicine: Clinical Cases

Left ventricular (LV) aneurysms and pseudoaneurysms can complicate transmural myocardial infarctions (MI). Myocardial rupture most frequently leads to cardiac tamponade and sudden death and is responsible for approximately 10% to 20% of deaths from acute myocardial infarctions (1). Only very rarely, patients may develop contained bleeding, which can lead to the development of an LV pseudoaneurysm. Such a contained LV rupture usually occurs only with preexisting pericardial adhesions. We present a dramatic case of a patient who had a remote coronary artery bypass grafting surgery and suffered a myocardial infarction years later, with a subsequent LV wall rupture. He survived that without surgical intervention but subsequently developed a large LV pseudoaneurysm.

A Case of Crystal-Associated Colitis Caused by Sevelamer | Annals of Internal Medicine: Clinical Cases

Sevelamer, a calcium-free phosphate binder used in chronic kidney disease, can lead to gastrointestinal side effects and, rarely, crystal-associated colitis. We present a case of sevelamer-induced colitis in a 66-year-old man with end-stage renal disease. Colonoscopy revealed characteristic crystalloid resins and ulcers in the colon. Recognition of this condition is difficult, often mimicking ischemic colitis. Pathophysiologic mechanisms involve direct toxic effects and potential stercoral colitis as the result of dehydration. Treatment primarily involves discontinuation of sevelamer, but managing hyperphosphatemia remains a challenge. Further research is needed to understand crystal-associated colitis and optimize management in this complex patient population.

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