Search Results for ""
- ACP Online (7513)
- Annals of Internal Medicine (6736)
- IM Matters (4549)
- ACP Hospitalist (2336)
- Annals of Internal Medicine: Clinical Cases (500)
- ACP Store (254)
Displaying 241 - 250 of 7513 in ACP Online
Professional Fulfillment Zone
Want to take your WBC training to the next level?
Patients Before Paperwork
Advocacy in Action ACP Updates Its Climate Change and Health Toolkit The American College of Physicians is renewing its call to members to help mitigate the effects of climate change and educate others on how to do the same. Click below to download the toolkit. View here!
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
Biden-Harris Administration Announces Nearly $100 Million to Grow the Health Workforce U.S. Department of Health and Human Services: September 17, 2024
From the Trenches
Learn the Importance of Sharing Stories of Vulnerability to Shift the Culture in Medicine: “Stories and Statistics” Annals of Internal Medicine: by Marya J. Cohen, MD, MPH Read about how Dr. Cohen's personal story helped her understand the impact of using stories over numbers to convey meaning behind medicine. Read here! “What Do I Need Today?” With Kerri Palamara, MD, MACP
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:
Displaying 241 - 250 of 6736 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 241 - 250 of 4549 in IM Matters
Displaying 241 - 250 of 2336 in ACP Hospitalist
Displaying 241 - 250 of 500 in Annals of Internal Medicine: Clinical Cases
Superior Vena Cava Syndrome in the Immediate Postoperative Period After Biatrial Heart Transplantation | Annals of Internal Medicine: Clinical Cases
Superior vena cava syndrome represents a medical condition characterized by a constellation of signs and symptoms, the most feared complication being cerebral edema. To our knowledge, there are no reports in the literature of vena cava syndrome in patients with bicaval heart transplants with successful resolution through endovascular intervention and its outcomes. We present the case of a 59-year-old woman with Ebstein anomaly in refractory heart failure who had a biatrial heart transplant and presented with superior vena cava syndrome after surgery. The patient underwent interventional treatment, which was successful and remarkably free of complications, and was discharged from the hospital.
Hypertrophic Cardiomyopathy Phenotypes and the Utility of Cardiac Magnetic Resonance Imaging: An Illustrative Case Series | Annals of Internal Medicine: Clinical Cases
Cardiac magnetic resonance imaging is the most sensitive and specific imaging method for characterizing the myocardium, monitoring disease, and risk stratifying many cardiomyopathy phenotypes. We present 3 cases of cardiomyopathy with hypertrophic phenotypes which demonstrate the advantages of cardiac magnetic resonance imaging. Ultimately, when investigating cardiomyopathies with a hypertrophic phenotype, a systemic evaluation using a “cardiomyopathy mindset” is needed, and multimodality imaging is a key piece of this process.
A Brief Review of Current Literature on Spontaneous Coronary Artery Dissection in Young, Healthy Women: A Case Series of Three Patients | Annals of Internal Medicine: Clinical Cases
This case series presents 3 middle-aged female patients who were diagnosed with spontaneous coronary artery dissection by invasive and noninvasive measures. Spontaneous coronary artery dissection (SCAD) is usually a disruption of the intima, leading to the creation of a false lumen and flow disruption, hematoma, thrombus formation, and ultimately, myocardial ischemia. The mechanism involves spontaneous hematoma formation or intimal tear due to many factors. Due to the lack of guidelines, varied treatment strategies were adopted with favorable outcomes. The authors describe a concise review of SCAD, reviewing the current literature and expert consensus.
Concurrent Arterial and Venous Thromboembolism While Receiving an Aromatase Inhibitor | Annals of Internal Medicine: Clinical Cases
A 49-year-old man presented with concurrent and widespread arterial and venous thromboembolism following a recent commencement of aromatase inhibitor therapy. Investigations revealed bilateral renal infarctions, complete occlusion of the superior mesenteric artery, and bilateral pulmonary emboli. He was noted to have heparin resistance when a heparin infusion was started. His treatment was transitioned to enoxaparin twice daily, resulting in a full resolution of symptoms.
Cirrhosis Caused by Nilotinib in Dose-Dependent Hepatotoxicity: Role of Gamma-Glutamyl Transferase in Management | Annals of Internal Medicine: Clinical Cases
We report nilotinib hepatotoxicity in a patient with chronic myeloid leukemia (CML) who presented with isolated elevations of gamma-glutamyl transferase (GGT). Cirrhosis was confirmed by clinical, radiologic, and histologic findings. Therapy for CML was continued, guided by monitoring BCR-ABL1 levels and declining GGT levels. Cirrhosis regression was evaluated using liver stiffness measurements and histology. Isolated GGT elevations in diagnosis and improvement in hepatotoxicity with dose reduction have not been previously reported. Treatment continuation while monitoring GGT and BCR-ABL1 levels resulted in disease remission and regression of cirrhosis. Our report will be useful to clinicians managing patients treated with nilotinib.
Postradiation Cranial Brachial Plexus Neuropathy: Clinical Examination and Electrophysiologic Diagnosis | Annals of Internal Medicine: Clinical Cases
A muscular man in his early twenties was treated with radiation (7000 cGy in 33 fractions) for nasopharyngeal carcinoma. Seven years later, he presented with gradually progressive painless proximal right arm weakness and paresthesia, mild dysarthria, and a sensation of pharyngeal tightness. A neurologic examination demonstrated weakness and atrophy of the tongue and right upper limb with abnormal movements of the tongue. Electromyography demonstrated neurogenic limb abnormalities and tongue myokymia, confirming a diagnosis of radiation neurotoxicity.
Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome | Annals of Internal Medicine: Clinical Cases
The rise in metabolic surgeries for obesity has increased concerns regarding post-surgical alcohol use disorder (AUD). We present a case of a 51-year-old woman who developed AUD and subsequent alcohol-related cirrhosis after Roux-en-Y gastric bypass surgery. Her sensitivity to alcohol heightened after surgery, leading to addiction. Despite treatment attempts, she developed complications, including hepatic encephalopathy and hepatorenal syndrome, ultimately necessitating hemodialysis. The case underscores the complex interplay between bariatric surgery, AUD, and cirrhosis, exacerbated during the COVID-19 pandemic. Heightened awareness of AUD after bariatric surgery and its complications, including hepatorenal syndrome, is crucial for comprehensive patient care amidst rising rates of obesity and alcohol misuse.
A Multimodal Treatment Strategy to Manage Severe Cutaneous Mpox | Annals of Internal Medicine: Clinical Cases
A 33-year-old bisexual man with advanced HIV and severe mpox developed severe cutaneous disease despite receiving tecovirimat, antiretroviral therapy, and vaccinia immune globulin. His condition improved after he received topical, intralesional, and intravenous cidofovir and debridement of his mpox lesions, but he required a 7-month hospitalization. His treatment was complicated by acute kidney injury secondary to cidofovir, so his antiretroviral therapy was switched to brincidofovir to complete treatment. All his lesions eventually resolved, but he eventually developed stage IV chronic kidney disease, likely due to cidofovir-related nephrotoxicity. Further research should investigate how to best balance the efficacy of severe mpox treatment with secondary effects.
A Novel Case of Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Secondary to Acalabrutinib | Annals of Internal Medicine: Clinical Cases
Here we describe an unusual case of a patient with chronic lymphocytic leukemia who developed drug reaction with eosinophilia and systemic symptoms from the Bruton kinase inhibitor acalabrutinib and propose a mechanism by which this class of medications may increase the potential for developing such reactions in this patient population. Drug reaction with eosinophilia and systemic symptoms has not been described previously in association with Bruton kinase inhibitors, which are known to target B cells.
Calcinosis Cutis | Annals of Internal Medicine: Clinical Cases
Calcinosis cutis, characterized by the deposition of calcium in the skin or subcutaneous tissue, presents in 5 subtypes: dystrophic calcification, idiopathic calcification, iatrogenic calcification, metastatic calcification, and calciphylaxis. Among these, dystrophic calcinosis cutis is the most prevalent, typically resulting from local tissue damage or collagen alterations. This subtype is frequently associated with connective tissue diseases, notably scleroderma. Currently, no single effective therapy for calcinosis cutis exists, and the available treatments have limited supporting evidence. The following medical image shows classic physical examination findings of this rare condition.
Displaying 241 - 250 of 254 in ACP Store
Ultrasound-Guided Paracentesis
Learn to identify normal ultrasound anatomy of the pleural and peritoneal spaces, apply sonographic techniques to locate intra-abdominal fluid collections, and practice real-time ultrasound-guided needle insertion into the peritoneal cavity.