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Displaying 151 - 160 of 7608 in ACP Online

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

How to Create a Clinician Wellness Committee

Creating a wellness committee is a concrete first step an organization can take to foster a culture of clinician wellness. Clinician well-being is not only critical to enhancing patient safety, but plays an important role in recruiting and retaining physicians. Stress in the medical workplace is generated by:

Financial Well-being Program | Professional Fulfillment | ACP

ACP is helping physicians plan with tools to secure financial well-being. Topics include paying off student debt, retirement savings, & every life event in between.

Design Your Own Well-being Program

Explore these tools to create a well-being program tailored to any organization’s needs and budget.

Advocacy Toolkit: Modernizing License and Credentialing Applications to Not Stigmatize Mental Health

Published 9/30/24

Well-being Champion Celebration Event

Well-being Champion Celebration Event PowerPoint Slides

WBC and Leadership

Uncertainty

Time Management Strategies

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Displaying 151 - 160 of 500 in Annals of Internal Medicine: Clinical Cases

Acute Polyarthritis With a Finger Wound: Rat Bite Fever From Streptobacillus moniliformis | Annals of Internal Medicine: Clinical Cases

Rat bite fever is a rare cause of acute polyarthritis. Without clinical suspicion, it can be a difficult diagnosis to make, as the bacterium Streptobacillus moniliformis is challenging to culture. This case discusses the course of a patient with significant autoimmune history who was treated with steroids until a synovial fluid culture grew S moniliformis. Once diagnosed, it was determined she owned 4 rats and sustained a bite 3 days before symptom onset. She improved with intravenous antibiotics. Although rare, this diagnosis can be quickly explored with a detailed history of living conditions, occupation, and contact with animals.

Foreign-Body Aspiration in an Older Patient | Annals of Internal Medicine: Clinical Cases

We present a case of a 68-year-old man with a history of heavy smoking and HIV infection, who displayed concerning symptoms. Initial imaging suggested a possible malignancy. This unique presentation underscores the significance of thorough patient history-taking in reaching accurate diagnoses, especially in complex cases that initially mimic more common conditions.

A Case Report of Systemic Lupus Erythematosus With IgA Nephropathy and Crescentic Nephritis | Annals of Internal Medicine: Clinical Cases

We report a case of systemic lupus erythematosus with IgA nephropathy and acute progressive glomerulonephritis. Renal function failed to recover after the administration of glucocorticoid and cyclophosphamide pulse therapy, which shows that systemic lupus erythematosus and IgA nephropathy may coexist at the same time.

Thromboangiitis Obliterans Successfully Treated With Smoking-Cessation Instruction Including Passive Smoking Cessation | Annals of Internal Medicine: Clinical Cases

A 22-year-old man presented with recurrent pain and linear redness of the lower extremities for 1 year. He smoked 20 cigarettes daily for 6 years and did not report cannabis use. He was referred to the vascular department by his primary care physician. He had stopped smoking for 6 months to treat thromboangiitis obliterans, but his symptoms were recurrent. The patient was interviewed about smoking in his living environment. His family members and his colleagues were smokers. Therefore, we advised to avoid secondhand smoke as well. Consequently, his symptoms resolved within 2 weeks. He had no relapse at follow-up after 6 months.

Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience | Annals of Internal Medicine: Clinical Cases

COVID-19 has been associated with profound hematologic disease processes, including cold agglutinin disease (CAD). We discuss a patient with preexisting stable CAD that was exacerbated by COVID-19. Management of this patient was complicated by the fact that rituximab, a known therapy for CAD, could not be used. Recent reports have shown poorer survival for patients with COVID-19 who received rituximab. In this report, we discuss the pathogenesis of CAD and its management in the context of SARS-CoV-2 infection. We aim to increase awareness of possible exacerbation of CAD by SARS-CoV-2 infection.

Nontraumatic Chylothorax: A Case Series From a Safety-Net Hospital | Annals of Internal Medicine: Clinical Cases

Chylothorax is an uncommon type of pleural effusion caused by the accumulation of chyle in the pleural space. It represents 2% to 3% of pleural effusions and can be classified into 4 categories: traumatic, malignant, idiopathic, or miscellaneous. Chylothoraces may carry high morbidity and mortality, especially when associated with trauma or malignancies. We present 3 cases of nontraumatic chylothorax confirmed by pleural fluid analysis, with different etiologies, seen by the pulmonary department at our hospital in 2022. They represent the wide spectrum of conditions that can be associated with this unusual finding.

Pneumococcal Endocarditis, Rare but Not Forgotten | Annals of Internal Medicine: Clinical Cases

Pneumococcal endocarditis incidence has significantly decreased since the advent of antibiotics but remains a significant cause of mortality and morbidity in high-risk groups, such as those with heart disease, chronic lung and liver disease, smoking, diabetes mellitus, and immunosuppression. We present a unique case of pneumococcal endocarditis with no clinical stigmata of infective endocarditis that manifested with acute hypoxic respiratory failure and severe aortic regurgitation. A large vegetation on the aortic valve was noted during surgery, with negative blood cultures and aortic valve tissue cultures but positive Streptococcus pneumoniae urinary antigen and polymerase chain reaction (PCR) test on the aortic valve.

Invasive Squamous Cell Carcinoma of Anterior Mediastinum of Unknown Primary Site | Annals of Internal Medicine: Clinical Cases

The most common lesions in the anterior mediastinum are thymomas, lymphomas, teratomas, and thyroid masses. Squamous cell carcinoma of anterior mediastinum is most commonly due to thymic carcinoma. We present an unusual case of a patient presenting with anterior mediastinal mass that was later found to be biopsy-proven invasive squamous cell carcinoma of unknown primary site based on the available imaging studies. We also review the broad differential diagnoses, clinical presentation, and diagnostic work-up of anterior mediastinal mass, especially the one with no clear primary site.

Inguinal Lymphadenitis After Mpox Infection: A Case Report | Annals of Internal Medicine: Clinical Cases

A man developed painful left inguinal lymphadenopathy several weeks after the resolution of presumed Mpox infection. Clinical examination revealed lymphadenitis. Therapeutic and diagnostic aspiration was performed. He was diagnosed with Streptococcus pyogenes lymphadenitis as well as presumptive concomitant lymphogranuloma venereum. The aspirate also was positive for monkeypox virus DNA, but the patient recovered well with antibacterial therapy only. This case report emphasizes the potential for sexually transmitted co-infections and bacterial superinfections to complicate human Mpox infection, and for the persistence of viral DNA in affected sites.

Recurrent Myopericarditis and Fulminant Cardiogenic Shock Due to Autoimmune Polyglandular Syndrome 2 | Annals of Internal Medicine: Clinical Cases

A 34-year-old man presented with acute pericarditis and a small pericardial effusion but rapidly decompensated into cardiac tamponade and fulminant cardiogenic shock, requiring venoarterial extracorporeal membrane oxygenation cannulation. He was diagnosed with autoimmune polyglandular syndrome 2 and was treated with stress dose steroids and an interleukin-1 inhibitor, with improvement in his cardiac function.

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Displaying 151 - 160 of 225 in ACP Store

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ACP Green Plaid Silk Neck Tie

ACP Black Dot I.M. Proud Socks

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ACP 14oz Mug

ACP 14oz Mug

Human Trafficking: A Physician's Guide to Identification and Response

Human Trafficking: A Physician's Guide to Identification and Response

Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting

Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting

American College of Physicians Ethics Manual, 7th Edition

American College of Physicians Ethics Manual, 7th Edition

Serving Our Patients and Profession: A Centennial History of the American College of Physicians (1915-2015)

Serving Our Patients and Profession: A Centennial History of the American College of Physicians (1915-2015)

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