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Displaying 191 - 200 of 7509 in ACP Online

Group Coaching for ACP Well-being Champions

There is still time to sign up for group coaching sessions facilitated by ACP Physician Services Coaching Lead, Dr. Kerri Palamara. Well-being Champions will be grouped into cohorts to participate in monthly group coaching sessions over Zoom. Champions will be able to discuss well-being goals and interventions and plan collaborative efforts.

From the Trenches

September 18, 2020

Answering the Call for Our Members and Our Communities

Patients Before Paperwork

Fact Sheet: Calendar Year (CY) 2022 Medicare Physician Fee Schedule Proposed Rule | CMS

Noteworthy Resources

Physician Suicide Prevention and the Ethics and Role of a Healing Community: An American College of Physicians Policy Paper Matthew DeCamp, MD, PhD, and Mark Levine, MD, for the ACP Ethics, Professionalism and Human Rights Committee

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

ACP Advocate Newsletter highlights that affect physician well-being and professional fulfillment. ACP Advocacy for Reproductive Health Care Rights to Focus on the States With the U.S. Supreme Court ruling to overturn Roe v. Wade, ACP will work with state chapters to advocate for patient autonomy and access to reproductive health care services.

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Displaying 191 - 200 of 500 in Annals of Internal Medicine: Clinical Cases

Carotidynia: An Atypical Neurovascular Disease | Annals of Internal Medicine: Clinical Cases

Carotidynia, or TIPIC syndrome, is a rare disorder characterized by localized unilateral neck pain due to inflammation of the carotid artery wall and perivascular tissues. We present a case of recurrent carotidynia with atypical features complicated by ischemic stroke. Multi-method vascular imaging demonstrated the presence of abnormal concentric carotid arterial wall thickening and of the adjacent tissues with imaging confirmed cerebral infarction. This case highlights novel protean manifestations of TIPIC syndrome. Although rare, recurrence may lead to serious cerebrovascular complications.

Percutaneous Aspiration Thrombectomy: A Promising Approach to Catch a Cardiopulmonary Thrombus-in-Transit | Annals of Internal Medicine: Clinical Cases

Clot-in-transit (CIT) is a life-threatening emergency that occurs in about 25 000 patients annually in the United States and is associated with high mortality due to the potential for rapid cardiopulmonary collapse, requiring prompt interventions. We present a case of a right atrial clot-in-transit extending from an existing inferior vena cava (IVC) filter in a patient with pulmonary embolism who had a successful aspiration thrombectomy using a percutaneous catheter-based system, highlighting the benefit of this technology in treating cardiopulmonary thrombi, especially in high-risk patients.

Avacopan Causing Vanishing Bile Duct Syndrome in an Adult Patient With Microscopic Polyangiitis | Annals of Internal Medicine: Clinical Cases

Microscopic polyangiitis (MPA) is a systemic necrotizing small-vessel vasculitis that may affect multiple organs. Avacopan, an oral complement (C5a) receptor inhibitor, was recently approved and recommended as a glucocorticoid-sparing induction therapy for severe granulomatosis with polyangiitis and MPA. We present a case of a 74-year-old patient with MPA who was treated with avacopan and who developed a severe cholestatic liver injury. A liver biopsy showed histologic evidence of vanishing bile duct syndrome. This case highlights the importance of considering vanishing bile duct syndrome in patients who take avacopan. In this clinical context, prompt recognition and discontinuation of avacopan is essential to avoid worsening liver injury.

Patient-Documented Podagra With Thermography | Annals of Internal Medicine: Clinical Cases

A beekeeper, during an acute gout attack, used a tool of her trade (thermography) to demonstrate the acute inflammation.

Multidisciplinary Management for Concomitant High-Risk Pulmonary Embolism and Large-Vessel Occlusion Stroke From Paradoxical Embolism | Annals of Internal Medicine: Clinical Cases

Concurrent pulmonary embolism (PE) and acute ischemic stroke are uncommon but associated with high morbidity. Paradoxical embolism occurs when thrombi cross right-to-left cardiac/pulmonary shunts such as a patent foramen ovale. Early anticoagulation for PE may lead to hemorrhagic transformation in large acute ischemic strokes. Decisions for reperfusion therapies and anticoagulation are time-sensitive, with best outcomes achieved with a multidisciplinary approach. We present a patient with concurrent high-risk PE and right middle cerebral artery stroke from paradoxical embolism through a patent foramen ovale who received neurothrombectomy followed by pulmonary aspiration thrombectomy.

An Uncommon Presentation of Neuro-Behçet Syndrome Mistaken for West Nile Encephalitis | Annals of Internal Medicine: Clinical Cases

Behçet disease is relapsing and remitting systemic vasculitis that can affect any blood vessel. It is known to produce recurrent oral and genital aphthous ulcers; however, it can affect any organ system. This is a case of a 36-year-old man who was readmitted from an acute rehabilitation facility with worsening encephalopathy and odynophagia. Magnetic resonance imaging scan of the brain found hyperintensities in the thalami, midbrain, and pons. Findings of a lumbar puncture demonstrated a mixed inflammatory process. His symptoms were not responsive to any antimicrobial agents. Given the development of genital and oral lesions, characteristic neuroimaging changes, and profound response to steroids, neuro-Behçet was confirmed.

Metallic Staple Migration Postcholecystectomy Causing Cholangitis | Annals of Internal Medicine: Clinical Cases

We present a case of a middle-aged man who presented owing to concern for right upper quadrant abdominal pain. He was found to have mild cholangitis with transaminitis secondary to a partial obstruction from a metallic staple, which was initially placed during cholecystectomy 1.5 years before presentation. This case shows that staples placed intraoperatively during cholecystectomy rarely can migrate intraluminally in the common bile duct and cause partial obstructions that could lead to cholangitis. Fewer than 100 cases of clip migration have been reported postcholecystectomy.

Unexpected Convergence: A Case Report of Achalasia in a Patient With Multiple Sclerosis | Annals of Internal Medicine: Clinical Cases

Achalasia is an esophageal motility disorder marked by neuronal degeneration within the myenteric plexus, leading to impaired lower esophageal relaxation and swallowing dysfunction. Despite a detailed understanding of its features, the disease's cause remains unknown. Similarly, multiple sclerosis (MS) is an inflammatory demyelinating condition of uncertain cause. Autoimmunity has been suggested as a potential cause of both disorders, yet instances documenting their co-occurrence are rare. We report a case of achalasia diagnosed in a young woman during hospitalization for an apparent MS flare.

A Case Report of Cardiac Ascites in Morquio Syndrome Complicated by Pulmonary Hypertension | Annals of Internal Medicine: Clinical Cases

Morquio syndrome, or mucopolysaccharidosis type IV (MPS IV), is a rare lysosomal storage disorder characterized by skeletal dysplasia and dysostosis multiplex. While primarily associated with skeletal manifestations, MPS IV can also affect systemic organs. Here, we present a case of a 64-year-old woman with MPS IVC who presented with cardiac ascites. The patient's disease course was characterized by idiopathic pulmonary hypertension to cor pulmonale and subsequent cardiac ascites formation. Utilizing paracentesis with cytology as well as an analysis of the patient's clinical history and disease progression, we provide insights into the interplay between Morquio syndrome and cardiac ascites.

A Case of Acute Right Heart Failure With Severe Pulmonary Hypertension Associated With Doxorubicin | Annals of Internal Medicine: Clinical Cases

We present a 58-year-old woman with metastatic lobular carcinoma on long-term doxorubicin with appropriate cardiovascular surveillance presenting with dyspnea and orthopnea. An echocardiogram and right heart catheterization revealed severe pulmonary hypertension and acute right heart failure. Her cumulative doxorubicin dose was 1.145 g/m2. Doxorubicin was withdrawn and guideline-directed medical therapy and antipulmonary hypertensive therapy was started. A follow-up right heart catheterization showed a recovered cardiac output and improved variables. This case highlights the importance of considering right-sided heart failure as a rare but serious complication in patients receiving doxorubicin, which warrants closer cardiovascular monitoring.

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Displaying 191 - 200 of 254 in ACP Store

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

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

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Principles and Practice of Hospital Medicine, 2nd Edition

Principles and Practice of Hospital Medicine, 2nd Edition

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