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Displaying 161 - 170 of 7458 in ACP Online
In the News
Protective equipment for physicians' mental health By Mollie Frost ACP Internist
From the Trenches
After a Physician Dies by Suicide By Ryan DuBosar ACP Internist This article shares the multiple factors that contribute to physician death by suicide, advocating for systems changes, destigmatizing mental health help-seeking in the culture of medicine, and creating supportive communities for those associated with or affected by the tragic event. View here!
ACP Webinars
Know Your Colleagues, Know Yourself: Checking In on Mental Health Liz Lawrence, MD, FACP
September 17, 2021
Individual and Organizational Resources That Give Agency and Provide Nurturing Safe Spaces and Supportive Communities If you or someone you know is in crisis, help is available 24/7. Text 741741 or call the National Suicide Prevention Lifeline (988 or 1-800-273-8255) or Disaster Distress Hotline (1-800-985-5990).
Patients Before Paperwork
Patients Before Paperwork Update:
Noteworthy Resources
Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees By Mark Linzer, MD; Cynthia D. Smith, MD; Susan Hingle, MD; et al JAMA Network Open
New ACP Webinars
Well-being Champion Webinar: Interprofessional Happy Hours as a Wellness Experience During the COVID-19 Pandemic Diana McNeill, MD, MACP; Kristin Dickerson December 2, 2020, 3:00-4:00 p.m. EST
In the News
Dr. Mom: Time to Decompress, Grace E. Farris, MD “Primary Care in the Time of COVID-19” By Washington Post Live, The Washington Post
From the Trenches
Fariha Shafi, MD, FACP, Missouri Well-being Champion and Wellness Committee Co-Chair
Displaying 161 - 170 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 161 - 170 of 241 in ACP Store
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ACP 14oz Mug
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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)
Critical Care Video Shorts
For those who may be called upon to care for patients requiring critical/intensive care associated with COVID-19, ACP is making the Critical Care Shorts available to all members. All eight modules (52 video shorts) are available at a discount to ACP members. Residents in Recruit-a-Resident programs that achieved Elite status during the 2017-2018 membership year will have access for free.
Displaying 161 - 170 of 3165 in IM Matters
Displaying 161 - 170 of 2449 in ACP Hospitalist
Displaying 161 - 170 of 500 in Annals of Internal Medicine: Clinical Cases
Unmasking “The Great Imitator”: A Case Report of a Rare Presentation of Syphilis | Annals of Internal Medicine: Clinical Cases
Syphilis presents with various clinical manifestations, making diagnosis challenging. We report an atypical case involving a 58-year-old immunocompetent man with a history of penile lesions. He exhibited an ulcerated skin lesion in the right temporal region, oral condyloma, lymphadenopathy, and an abdominal wall mass. Despite inconclusive histopathologic findings of the skin lesion biopsy, a diagnosis of nonprimary syphilis was made based on strong clinical evidence, a reactive fluorescent treponemal antibody assay, and an elevated rapid plasma reagin titer. The patient showed a remarkable response to intravenous penicillin G therapy. This case report highlights the importance of early recognition and management of atypical syphilis presentations.
Perforation of the Sigmoid Portion in an Adult Patient With Dengue Fever: A Rare Case | Annals of Internal Medicine: Clinical Cases
Dengue fever can cause gastrointestinal complications, such as intestinal perforation. Pathogenesis is related to mucosal damage leading to ischemia. Diagnosis is through imaging that detects signs of perforation. Treatment is surgical repair of the lesion. A 54-year-old man presented with dengue fever and abdominal pain; abdominal ultrasound showed distension of intestinal loops with wall edema and interloop fluid. Chest radiography produced a finding of pneumoperitoneum. Perforation was suspected, requiring exploratory laparotomy and repair of the lesion. Intestinal perforation due to dengue fever is rare in the literature. It requires high clinical suspicion. Management requires exploratory laparotomy and repair.
Diastolic Mitral Regurgitation Caused by Acute Myocardial Infarction Complicated With Severe Heart Failure | Annals of Internal Medicine: Clinical Cases
Diastolic mitral regurgitation (MR) is a rare and often-overlooked form of functional MR. Key factors in the development of diastolic MR include incomplete closure of the mitral valve, reversal of left atrioventricular pressure gradient during diastole, and elevated left ventricular diastolic pressure. In this case, diastolic MR was observed in an older male patient with a single underlying pathologic condition, acute myocardial infarction. Remarkably, the diastolic MR resolved after treatment of myocardial infarction. This case highlights the importance of understanding the complex hemodynamic changes involved.
A Case Report of Porphyria Complicated by PRES: A Trojan Horse Presenting as Dysmenorrhea | Annals of Internal Medicine: Clinical Cases
Acute intermittent porphyria (AIP) is a rare heme synthesis disorder often misdiagnosed due to nonspecific symptoms. Acute attacks feature severe abdominal pain, autonomic nervous system disturbances, and electrolyte imbalances. These can be complicated by posterior reversible encephalopathy syndrome (PRES), presenting with headaches, visual disturbances, confusion, and seizures. In patients with recurrent abdominal pain, autonomic symptoms (e.g., hypertension), or neurologic signs (e.g., seizures or PRES-like features), AIP should be considered. We present a case of a patient with abdominal pain who developed PRES and was later diagnosed with AIP, highlighting the importance of recognizing this condition in such clinical scenarios.
A Case of Cerebrospinal Fluid Leak in a Patient With Pneumococcal Meningitis and Rhinorrhea | Annals of Internal Medicine: Clinical Cases
Pneumococcal meningitis is a relatively common condition in the United States. Patients often present with an intense headache and may have accompanying nausea and vomiting, altered mental status, and hearing loss, among other symptoms. A primary concern for a patient with pneumococcal meningitis is the status of their immune system. Cases typically occur in individuals who are immunocompromised and who are more susceptible to bacterial penetration of their central nervous system. Our patient with pneumococcal meningitis proved to be immunocompetent, prompting our curiosity in determining the cause of his illness. A thorough history revealed the origin of his illness: a long-standing cerebrospinal fluid leak.
Full Tongue Necrosis in Giant Cell Arteritis: A Rare Case Presentation | Annals of Internal Medicine: Clinical Cases
Giant cell arteritis is a chronic disease of medium- and large-vessel vasculitis that most commonly affects vasculature of the head and neck. Delays in presentation or diagnosis can result in significant morbidity when progression of the disease results in total vessel occlusion.
Spontaneous Tumor Lysis Syndrome Secondary to Appendiceal Burkitt Lymphoma in an Older Man With Ascites | Annals of Internal Medicine: Clinical Cases
Malignant ascites is the accumulation of fluid-containing malignant cells in the peritoneal cavity, most often due to solid organ tumors. Rarely, abdominal lymphoma may also cause malignant ascites and masquerade as a colorectal tumor on imaging. Early diagnosis of aggressive lymphomas is important due to their potential for oncologic emergencies, including tumor lysis syndrome. Therefore, it is critical that lymphoma remain on the differential diagnosis for malignant ascites until it is ruled out. Here, we present a case of appendiceal Burkitt lymphoma presenting as rapid onset ascites and spontaneous tumor lysis syndrome.
Respiratory Failure After Unilateral Shoulder Arthroplasty: A Telltale of Interscalene Block Complication | Annals of Internal Medicine: Clinical Cases
Phrenic nerve palsy is a common complication of interscalene block (ISB), which is usually found incidentally and is typically asymptomatic when affecting only the unilateral side. However, underlying lung diseases like sleep apnea can manifest as respiratory failure. We present a case of a 73-year-old woman with a history of sleep apnea who was found to have acute hypoxic hypercarbia respiratory failure and was found to have right-sided diaphragm paralysis due to ipsilateral phrenic nerve injury.
A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer | Annals of Internal Medicine: Clinical Cases
We describe a case of non–small cell lung cancer (NSCLC) associated with recurrent episodes of syncope. During the work-up for syncope, the patient was incidentally found to have a mass in the right upper lobe, which was later diagnosed as NSCLC. Positron emission tomography computed tomography showed metastatic lymphadenopathy of the supraclavicular and paratracheal nodes involving the cardiac branches of the vagus nerve. The patient no longer experienced syncope after starting immunochemotherapy. Considering the rapid and complete remission of syncope after the treatment of lung cancer and the location of metastatic lymphadenopathy, this condition might represent a location-dependent syndrome.
Cisplatin-Induced Renal Salt Wasting in a Patient With Mediastinal Nonseminomatous Germ Cell Tumor | Annals of Internal Medicine: Clinical Cases
Cisplatin is a platinum-based, effective chemotherapy agent that is limited by nephrotoxicity. Hyponatremia is a common concern and both renal salt wasting (RSW) and SIADH can occur. The challenge lies in the diagnostic differentiation of RSW and SIADH, since the treatment of the two conditions differs. We present a 25-year-old man with a mediastinal nonseminomatous germ cell tumor undergoing VIP chemotherapy (etoposide, cisplatin, and ifosfamide), who developed polyuria and electrolyte imbalances indicative of RSW and Fanconi-like syndrome. This case underscores the importance of early diagnosis and tailored management of cisplatin-induced RSW to prevent severe renal impairment.