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 171 - 180 of 7458 in ACP Online
Patients Before Paperwork
ACP Advocate Newsletter Feature: New Vision of CMS Innovation Center Aligns With ACP Priorities for Payment Systems In a new strategy paper, CMS says Innovation Center will evaluate aspects of proposed payment systems, including equity, care delivery transformation, and patient outcomes. ACP's Chapter Advocacy Toolkit
Noteworthy Resources
General Team Care Toolkit ACP has developed this toolkit to share best practices and real-life examples of successful team-based clinical care models that include internal medicine physicians working with nurse practitioners, physician assistants, and other members of the clinical care team. This toolkit includes resources to help foster productive and purposeful internal medicine teams. View here!
In the News
Protective equipment for physicians' mental health By Mollie Frost, ACP Internist
From the Trenches
Podcasts Developed by Well-being Champions A podcast series on diversity, equity, and inclusion (DEI) in medicine that sparks discussion and provides practice-changing data and stories for a physician, student, allied health professional, and health care leader audience Led by California and the Netherlands.
November 19, 2021
Embracing Community Connection Through Brief and Meaningful Actionable Well-being Videos and Other Resources 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).
Well-being Champion Poster Competition
We are thrilled to be able to showcase the winners of the Well-being Champion poster competition virtually on our Well-being and Professional Fulfillment webpage. The four winning proposals reflect the range of activities and experiences that our Champions engage in, from organizing scenic hikes to hosting conferences. Join us in congratulating our winners, and thank you to everyone who participated in our competition! View the winning proposals!
Patients Before Paperwork
Patients Before Paperwork Update: COVID-19 Administrative and Regulatory Relief Advocacy Over the course of the pandemic, ACP has been advocating for administrative and regulatory relief to remove unnecessary burden on physicians so they are able to focus their efforts on addressing the COVID-19 crisis. The College has focused its advocacy on a broad array of regulatory relief topics. The College's specific correspondence includes:
New ACP Webinars
Listening to Understand, Not to Fix Kerri Palamara, MD, FACP June 12, 10:00–11:00 a.m. ET
In the News
The Joint Commission Statement on Removing Barriers to Mental Health Care for Clinicians and Health Care Staff On May 12, The Joint Commission issued a statement urging organizations to remove barriers that prevent health care workers from seeking mental health treatment.
Displaying 171 - 180 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 171 - 180 of 241 in ACP Store
Teaching Clinical Reasoning
eBook Available
Women's "I Think, Therefore I.M." Crew Neck T-Shirt
Women's "I Think, Therefore I.M." Crew Neck T-Shirt
Women's "I Think, Therefore I.M." V-Neck T-Shirt
Women's "I Think, Therefore I.M." V-Neck T-Shirt
On Being a Doctor, Volume 4
On Being a Doctor, Volume 4
"I Think, Therefore I.M." 11oz Mug
"I Think, Therefore I.M." 11oz Mug
"I.M. Your Doctor's Doctor" 11oz Mug
"I.M. Your Doctor's Doctor" 11oz Mug
Practical Office Orthopedics
Practical Office Orthopedics
Leadership Careers in Medical Education
eBook Available
Methods for Teaching Medicine
eBook Available
Displaying 171 - 180 of 3165 in IM Matters
Displaying 171 - 180 of 2449 in ACP Hospitalist
Displaying 171 - 180 of 500 in Annals of Internal Medicine: Clinical Cases
Acral Purpura Fulminans With Erythrocyte-Associated Streptococcus pneumoniae: A Case Report | Annals of Internal Medicine: Clinical Cases
A patient presented with acral purpura fulminans caused by Streptococcus pneumoniae septicemia. With antibiotics and intensive care, he survived but required amputations of both hands and feet due to ischemic necrosis. We observed diplococci adherent to erythrocytes on blood smear. This previously described phenomenon, named immune adherence, requires complement. Opsonized pneumococci bind to complement receptors on human erythrocytes. Circulating immune adherent pneumococci are delivered by erythrocytes to fixed splenic macrophages for bacterial killing. We hypothesize that defective reticuloendothelial function most likely contributed to our patient's overwhelming infection with septic syndrome, disseminated intravascular coagulation, and acral purpura fulminans.
Severe Superior Vena Cava Syndrome in a Patient With Metastatic Melanoma Receiving Nivolumab: A Case Report | Annals of Internal Medicine: Clinical Cases
Immune checkpoint inhibitors (ICIs) such as nivolumab have revolutionized cancer therapy, including melanoma. Immune-related events happen in up to 70% of patients. Sarcoid-like reactions are rare and can mimic tumor progression. An 82-year-old man with metastatic melanoma receiving nivolumab for 5 years presented with dyspnea and neck and face swelling. A computed tomography scan of the chest showed paratracheal adenopathy compressing the superior vena cava (SVC) and pleural effusion. Biopsies revealed only benign lymphocytes. The symptoms resolved with a course of prednisone. This case highlights rare nivolumab-induced lymphoid proliferation causing SVC syndrome. New SVC syndrome symptoms should prompt evaluation to distinguish between cancer progression, infection, and drug-induced lymphadenopathy.
Black Esophagus and Diabetic Ketoacidosis | Annals of Internal Medicine: Clinical Cases
Black esophagus, also known as acute esophageal necrosis and Gurvits syndrome, is a rare medical condition characterized by a striking endoscopic appearance of diffuse black discoloration of the esophageal mucosa almost universally affecting the distal esophagus and extending proximally at various lengths. Risk factors include male sex, advanced age, cardiovascular and renal disease, diabetic ketoacidosis, thromboembolic disease, malignancy, and general debilitation. Endoscopic findings are classic and tissue histology is not required for diagnosis. Acute esophageal necrosis carries a poor prognosis, with up to one third of patients succumbing to underlying comorbid conditions.
Systemic Sclerosis With Central Nervous System Vasculitis: A Rare and Challenging Diagnosis and Review of the Literature | Annals of Internal Medicine: Clinical Cases
Systemic sclerosis (SSc) is a heterogeneous inflammatory disorder with significant impact on patients’ morbidity and mortality. Central nervous system (CNS) vasculitis is a rare presentation of connective tissue diseases, including SSc. We present the case of a young woman with subacute and progressively severe occipital headaches, impaired attention, low mood and anxiety, spatial and temporal disorientation, memory loss for recent events, and decreased hand dexterity. The diagnosis of CNS vasculitis secondary to SSc was achieved. We provide an overview of the differential diagnoses of this rare entity, which constitutes a challenging diagnosis, as well as a literature review.
Triple Flexion Reflex | Annals of Internal Medicine: Clinical Cases
We present here a clinical video demonstrating a triple flexion reflex caused by a plasma cell tumor infiltrating the spinal canal. This involuntary movement is a characteristic and rare manifestation that occurs in association with spinal cord compression and can be observed without motor weakness. Therefore, the clinician should carefully examine the spine even if the patient has little or no muscle depression.
Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States | Annals of Internal Medicine: Clinical Cases
A man in his mid-50s from Illinois presented with a circular rash without central clearing on his thigh. Two weeks later, he developed radicular lower abdominal and back pain. While initial imaging of the abdomen and lumbar spine was unrevealing, a physical examination later uncovered the subtle finding of dermatomal hypoesthesia. After a positive 2-tier test for Lyme disease, a diagnosis of Bannwarth syndrome was confirmed by cerebrospinal fluid, revealing lymphocytic pleocytosis and an elevated Lyme antibody index. Despite its historical association with the European Borrelia species, in the United States, Bannwarth syndrome should be considered in patients with radicular pain.
A Case of Sarcoidosis of the Gallbladder Wall | Annals of Internal Medicine: Clinical Cases
A 37-year-old man with pulmonary and hepatic sarcoidosis was hospitalized for right upper quadrant pain. Imaging showed a heterogeneous mass extending from the gallbladder, and biopsy confirmed sarcoidosis in the gallbladder wall, requiring continuation of his home steroid therapy. This case demonstrates an alternative differential diagnosis to consider when evaluating masses in the hepatobiliary system, especially in patients with sarcoidosis, as well as the utility of various imaging modalities.
Ectopic Adrenocorticotropic Hormone–Producing Renal Cell Carcinoma Causing Psychosis in a Patient With Birt-Hogg-Dubé Syndrome | Annals of Internal Medicine: Clinical Cases
This is, to our knowledge, the first-ever recorded case of Birt-Hogg-Dubé syndrome associated with an adrenocorticotropic hormone–secreting renal cell carcinoma. A 35-year-old woman who presented with new-onset psychosis, hypertension, and diabetes was found to have severe hypokalemia and elevated cortisol and adrenocorticotropic hormone levels. Imaging revealed a renal mass, pathology confirmed chromophobe renal cell carcinoma, and genetic testing confirmed Birt-Hogg-Dubé syndrome. The patient underwent right partial nephrectomy, with resolution of her symptoms reported.
Acute Bilateral Scleritis After Recent Streptococcal Infection | Annals of Internal Medicine: Clinical Cases
A 67-year-old woman with no prior ocular history and culture-confirmed streptococcal pharyngitis presented with bilateral eye redness, pain with eye movement, swelling, and blurry vision. Her condition worsened with initial conservative treatment. Repeat imaging indicated bilateral scleritis, and laboratory test results showed elevated antistreptolysin-O titers. After steroid treatment, her vision returned to baseline and symptoms resolved. Acute scleritis is important to consider in a patient with recent streptococcal infection despite penicillin treatment. Besides ocular findings, patients may not present with dermatologic or rheumatologic symptoms. Internists should consider repeat imaging and laboratory work-up, as early steroid treatment can rapidly improve the scleritis and recover vision.
Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective | Annals of Internal Medicine: Clinical Cases
Severe esophageal disease can be remedied with colonic interposition, a surgical procedure in which the resected esophagus is replaced by a segment of colon. The development of adenocarcinoma in the colon conduit is a rare but growing long-term complication of this procedure. Here, we present a case of colorectal cancer that developed decades after colonic interposition for childhood esophageal injury due to caustic ingestion. We highlight the challenges inherent in evaluation, treatment, surveillance, and survivorship for this unfortunate complication and describe our institution's successful approach to this complex case.