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Noteworthy Resources for Well-being

ACP: Design Your Own Well-being Program Explore these tools to create a well-being program tailored to any organization's needs and budget. View here!

In the News

May Is Mental Health Awareness Month! Please explore the links below for information and toolkits on mental health:

From the Trenches

Learn the Importance of Self-Awareness and System Change “Truly Attending: Cultivating Attention, Presence and Self-Awareness Through Narrative Medicine Workshops” Rhode Island Medical Journal: Mariah Stump, MD, MPH, FACP, Marion Mull McCrary, MD, FACP, and Fariha Shafi, MD, FACP

May 16, 2025

Promoting Mental Health Awareness & ACP Internal Medicine Meeting 2025 Recap

Patients Before Paperwork

With the April 5, 2021, Information Blocking deadline just weeks away, ACP has focused its attention on reinforcing members' understanding of these regulations and supporting efforts to improve interoperability and health information access for patients and physicians.

Noteworthy Resources

I.M. Emotional Support Hub ACP's new I.M. Emotional Support Hub features trusted and curated emotional support resources from both within and outside ACP. Resources include physician peer support, counseling, guidance for organizational leadership, and individual wellness tips. This webpage is designed to reach our most vulnerable members and provide a variety of just-in-time and long-term support as we enter the second year of the COVID-19 pandemic. View here!

New ACP Webinars

Well-being Champion Webinar: Enhancing Well-being Through Organizational Change Lisa Rotenstein, MD March 26, 2021, 2:00–3:00 p.m. ET

In the News

“A Call to Action: Align Well-being and Antiracism Strategies” By Eileen Barrett, MD, MPH, MACP; N. Mariam Salas, MD; Charlene Dewey, MD, MEd, MACP; Jonathan Ripp, MD, MPH, ACP Member; and Susan Thompson Hingle, MD, MACP ACP Internist

From the Trenches

By Mark Linzer, MD, MACP, and Sara Poplau, Hennepin Healthcare, Minneapolis Coping With COVID: Early Data, Important Lessons

March 19, 2021

Emotional Support for Those Who Need It Most

Medicine in Quotations, 2nd Edition

Medicine in Quotations, 2nd Edition

On Being A Doctor, Volume 2

On Being A Doctor, Volume 2

On Being a Doctor (Softcover)

On Being a Doctor (Softcover)

ACP Green Silk Bow Tie

Made by Sci-Ties, Inc. 100% silk green pre-tied bowtie with adjustable strap. Product Code: 701173410

Gift Certificates

Gift Certificates

I Think, Therefore I.M. Unisex T-Shirts

I Think, Therefore I.M. Unisex T-Shirts

ACP Green Silk Neck Tie

ACP Green Silk Neck Tie

ACP Color Block Silk Neck Tie

ACP Color Block Silk Neck Tie

ACP Yellow Plaid Silk Neck Tie

ACP Yellow Plaid Silk Neck Tie

Principles and Practice of Hospital Medicine, 2nd Edition

Principles and Practice of Hospital Medicine, 2nd Edition

Chronic Eosinophilic Pneumonia With Multiple Drug-Related Risk Factors: Diagnosis and Management | Annals of Internal Medicine: Clinical Cases

Chronic eosinophilic pneumonia is a rare illness characterized by pneumonic infiltrates with peripheral eosinophilia. The underlying cause is unknown, but it is associated with multiple medications. The present article reports a woman in her 60s with a history of chronic sinusitis and asthma who presented with subacute cough and hemoptysis and significant peripheral and bronchioalveolar eosinophilia. This patient also had anxiety and depression treated chronically with trazodone and venlafaxine, which are associated with eosinophilic pneumonia. Symptoms promptly resolved within 24 hours following steroid treatment. This article highlights the diagnostic challenge eosinophilic pneumonia presents.

Double Coronary–Cameral Fistula: Right Coronary Artery and Circumflex to Left Atrium | Annals of Internal Medicine: Clinical Cases

Coronary fistulas are an abnormal communication of the coronary arteries with the cardiac chambers or any vascular structure. Most are detected incidentally. Transthoracic echocardiogram is essential for evaluation, coronary computed tomography angiography can be useful in planning the procedure, allowing excellent anatomical delineation, and cardiac magnetic resonance imaging can help to outline the anatomy; however, the gold standard is coronary angiography. Treatment can be pharmacologic, surgical, or transcatheter. We present the case of a 71-year-old woman with angina and dyspnea in whom the diagnostic approach demonstrated the presence of coronary–cameral fistulas for which pharmacologic management was decided.

Pain as a Clinical Presentation of Osteopoikilosis | Annals of Internal Medicine: Clinical Cases

Osteopoikilosis, or disseminated condensing osteopathy, is an osteosclerosing dysplasia that is a rare genetic disorder of autosomal-dominant genetic transmission, and recent research suggests that the possible cause of osteopoikilosis might be the loss of function of the LEM domain-containing gene 3 (LEMD3). We describe the case of a young man with arm pain associated with increased volume, functional limitation, and fever who presented to the emergency department. Radiographic and magnetic resonance images are provided, which reveal bilateral periarticular osteosclerotic lesions in the pelvis, humeral head, and scapular region, showing no signs of malignancy.

Spontaneous Resolution of Myocardial Inflammation in Cardiac Sarcoidosis: A Case Report | Annals of Internal Medicine: Clinical Cases

Sarcoidosis is a multisystem disease characterized by granulomatous inflammation of virtually any organ or tissue. Atrioventricular block, arrhythmias, cardiomyopathies, and sudden cardiac death are known manifestations of cardiac sarcoidosis (CS), and, thus, diagnosis of CS is considered an absolute indication to initiate treatment of sarcoidosis with disease-modifying anti-inflammatory immunosuppressives. To our knowledge, spontaneous resolution of CS has not been documented. Here, we report what we believe is the first documented case of spontaneous-resolution CS-related myocardial inflammation without corticosteroid or other immunosuppressive therapy for nearly 5 years following initial presentation.

Low-Molecular-Weight Heparin–Induced Skin Necrosis Without Thrombocytopenia | Annals of Internal Medicine: Clinical Cases

Heparin-induced skin necrosis is an immune-based entity that appears secondary to exposure to unfractionated heparin or low-molecular-weight heparin, consisting of the appearance of erythematous lesions that can progress to necrosis at the point of heparin inoculation or in remote places. A case of a patient with the appearance of necrotic erythematous lesions in the lower limbs 10 days after the introduction of enoxaparin at an anticoagulant dose is presented.

Rifampin-Associated Renal Failure | Annals of Internal Medicine: Clinical Cases

Rifampin is an effective and widely used for the treatment of both active and latent tuberculosis. Although significant side effects are rare, severe side effects such as acute renal failure have been reported in the literature, usually secondary to acute interstitial nephritis. We report a case of rifampin-induced acute renal failure due to heme pigment–related injury in a patient who was receiving daily rifampin as therapy for latent tuberculosis. The patient case illustrates considering rifampin as a potential cause of acute renal failure when no other cause is identified.

Vitamin C Deficiency as a Mimicker of Vasculitis: A Case | Annals of Internal Medicine: Clinical Cases

Scurvy causes poor wound healing, hemarthrosis, petechiae, perifollicular hemorrhages, and nonspecific myalgia. Although studies report that scurvy can mimic vasculitis on physical examination, the disease lacks the laboratory evidence for vasculitis. We introduce a patient with scurvy whose clinical presentation and laboratory findings mimicked vasculitis, which led to a delayed diagnosis and high resource expenditure. This case highlights the importance of early dietary history in patients with concern for vasculitis. Early dietary history and involvement of the nutrition team can significantly decrease invasive and costly testing procedures and improve diagnosis and patient outcomes.

Unilateral Diaphragm Paralysis Following COVID-19 Infection: A Case Report | Annals of Internal Medicine: Clinical Cases

We report a patient case of unilateral diaphragm paralysis following COVID-19 infection. A 55-year-old healthy man was infected with SARS-CoV-2 before the availability of a vaccine. He was intubated and pronated for respiratory failure. He experienced new debilitating dyspnea and orthopnea for 6 months after recovery. Dynamic chest radiography demonstrated a new hemidiaphragm paralysis. After surgical plication of the diaphragm, the patient's symptoms resolved. This patient case demonstrates the importance of thorough evaluation for diaphragm paralysis in patients who have suffered COVID-19 infection when there is persistent dyspnea or orthopnea, as well as the neuroinvasive potential of the virus that has yet to be fully explained.

Central Nervous System Nocardiosis Due to Nocardia farcinica | Annals of Internal Medicine: Clinical Cases

Nocardia is an opportunistic aerobic, filamentous, gram-positive branching rod that infects immunocompromised hosts. Infections usually stem from the pulmonary, integumentary, or, rarely, gastrointestinal systems. Nocardia farcinica has a noted predilection for neural tissue, thought to represent secondary dissemination from prior infection.