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Displaying 141 - 150 of 7509 in ACP Online

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.

Communicating Needs for Win-Win 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.

ACP Tools to Support Your Professional Development

Follow a roadmap of actionable steps to enhance your professional growth from student to retirement. Identify key ACP resources and member benefits, including coaching, advocacy, scholarly, and ongoing professional development tools to support you throughout your journey.

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 Curriculum The 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.

ACP Advocacy on Physician Suicide Prevention & Well-Being

ACP addresses physician suicide through system-focused reforms, stigma reduction, and mental health resources tailored to clinical work environments.

ACP I.M. Emotional Support Video Series

Internists: Take Care of Yourselves, Too We're so busy taking care of others, it's easy to overlook caring for ourselves. To help, ACP and your fellow members have developed a series of brief videos that offer strategies to cope with daily burdens. Take a few minutes to watch these videos and then share them with a colleague who may need support.

I.M. Emotional Support Hub

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Displaying 141 - 150 of 500 in Annals of Internal Medicine: Clinical Cases

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.

A Rare Case of Hyperkalemia Following Magnesium Sulfate Therapy in a Pregnant Patient With Preeclampsia | Annals of Internal Medicine: Clinical Cases

A 21-year-old woman at 36 weeks’ gestation presented with preeclampsia and received intravenous magnesium sulfate for seizure prevention. Her magnesium level peaked at 7.4 mg/dL on day 2. By day 4, her potassium level peaked at 6.3 mmol/L, with peaked T waves on electrocardiogram. She was treated with potassium-lowering therapy, and her kidney function remained normal, though aldosterone levels were slightly low. Given the rise in her potassium level following hypermagnesemia and its normalization after her magnesium level decreased, hyperkalemia was attributed to an elevated magnesium level. This is the fourth reported case of hyperkalemia following magnesium administration.

Correction: Chronic Pulmonary Silicone Embolism Syndrome Following Saline Breast Implants | Annals of Internal Medicine: Clinical Cases

Correction: Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome | Annals of Internal Medicine: Clinical Cases

Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis | Annals of Internal Medicine: Clinical Cases

Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease presenting primarily in women of child-bearing age. It can occur sporadically or in association with tuberous sclerosis. Here, we discuss the case of a 29-year-old woman on oral contraceptive pills (OCPs) for years, who presented with sudden-onset chest pain and dyspnea found to have a pneumothorax. Serologic testing confirmed a diagnosis of LAM. An early diagnosis can lead to earlier treatment with sirolimus, which can improve lung function and survival among those with LAM.

Coccidioidal Peritonitis Masquerading as Acute Appendicitis | Annals of Internal Medicine: Clinical Cases

Coccidioidomycosis is a fungal infection resulting from the inhalation of arthroconidia produced by the genus Coccidioides. Most encounters with this fungus result in asymptomatic or undiagnosed pulmonary disease. A smaller percentage of individuals develop symptoms, typically respiratory. A small number have disseminated (extrathoracic) disease. A previously healthy woman presented with right lower quadrant abdominal pain, with computed tomography scan findings raising suspicion for acute appendicitis. Laparoscopic examination revealed miliary-type peritoneal nodules throughout the abdominal cavity, and endosporulating spherules pathognomonic for Coccidioides were identified on histologic examination. Treatment with triazoles led to satisfactory recovery, followed by relapse. We present an unusual presentation of disseminated coccidioidomycosis presenting as abdominal pain mimicking acute appendicitis.

Medullary Thyroid Cancer Discovered Through Elevated Carcinoembryonic Antigen Levels Post Colorectal Cancer Resection | Annals of Internal Medicine: Clinical Cases

Medullary thyroid carcinoma (MTC) is a rare malignancy accounting for approximately 5% of all thyroid cancers. Common predictors of aggressiveness of MTC include specific RET mutations and levels of calcitonin. Carcinoembryonic antigen is a tumor marker that can also provide diagnostic and prognostic information. We present the case of a 53-year-old woman with persistently elevated carcinoembryonic antigen levels 2 months post–curative colorectal cancer (CRC) resection. She was found to have MTC by fine-needle biopsy, incidentally detected on full-body 18F-fluorodeoxyglucose–positron emission tomography while investigating colorectal cancer recurrence.

Uremic Pericarditis as a Complication of Coral Reef Aorta | Annals of Internal Medicine: Clinical Cases

This is a case report of a 77-year-old man with a history of prostate cancer and hypertension who presented with progressively worsening weakness, pleuritic chest pain, shortness of breath, and oliguria. He was subsequently found to have renal failure with nearly complete occlusion of his aorta at the level of the renal arteries, a condition known as coral reef aorta. He unfortunately developed uremic pericarditis due to renal failure likely caused by the occlusive plaques. This report is meant to highlight a rare complication of an even rarer disease.

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Displaying 141 - 150 of 253 in ACP Store

Women's I.M. Proud V-Neck T-Shirt

Women's I.M. Proud V-Neck T-Shirt

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ACP ShedRain Charcoal Umbrella

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ACP Black Pleated Cotton Mask

I.M. Proud Car Magnet Set

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Addressing and Supporting Physician Mental Health during Challenging Times

Addressing and Supporting Physician Mental Health during Challenging Times

On Being a Doctor, 4-volume set

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