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Displaying 261 - 270 of 7513 in ACP Online
Patients Before Paperwork
Celebrate Mental Health Awareness Every Day by George Lyons Jr., Esq. Recognizing mental health entails the individual acknowledging it and seeking help, society not stigmatizing those suffering from mental and behavioral disorders, and the nation providing adequate resources and personnel to address the problem.
Noteworthy Resources
Mentoring Matters: The Art and Science of Mentoring Webinar Mentors play an integral role in the professional development of their mentees. Join Mitchell D. Feldman, MD, MPhil, FACP, as he explores the key characteristics and competencies of an effective mentor and describes how to support alignment in mentoring relationships. Learn strategies to analyze and optimize mentoring relationships to include activities of sponsorship. This webinar is open to ACP members. There will be time for questions after the presentation.
In the News
Inclusivity That Never Dies: The Future of ACP by George M. Abraham, MD, MPH, MACP ACP's President recaps his tenure as he discusses the College's efforts at diversity, equity, and inclusion.
From the Trenches
Opportunities to Connect: Topic: Small Feedings of the Soul: Readings and Reflections Series
May 20, 2022
Promoting Mental Health Awareness and Well-being Strategies That Support Whole-System Thriving 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 (800-985-5990).
Patients Before Paperwork
ACP Offers Recommendations for Using Performance Measures in Telemedicine Settings In a new policy paper, ACP recommends that performance measures evaluating telemedicine visits adhere to the same criteria as in-person visits. View here! ACP Calls for Changes to Prior Authorization System That Prioritize Patients and Physicians CMS is working to streamline the process and proposes a reduction in the amount of time physicians need to wait for decisions on requests from payers.
Noteworthy Resources
Well-being Champion Training: Growth After Trauma & Nurturing Well-being In this recorded session, Dr. Kerri Palamara rounds out all of the learnings from your Well-being Champion training through exercises that facilitate tangible action in navigating and implementing positive individual, community, and organizational change and prioritize clinician well-being in a constantly shifting landscape. View here!
In the News
U.S. Surgeon General Vivek H. Murthy ‘03 Discusses the Loneliness Epidemic by Yale School of Management Vital relationships are the foundation of success and happiness in communities, and in the workplace, Murthy told Yale SOM students during the semester's first Leaders Forum lecture on September 8. Read here
From the Trenches
Power of Connectivity Initiative by Kerri Palamara, MD, MACP Implement Your Own Initiative
ACP Multimedia Education
Game Plan Refresh Series for Trained WBCs Marion McCrary, MD, FACP, and NC Well-being Champion (WBC), revisits strategies learned during your WBC training and new skills to grow your toolkit to support you and your colleagues. Managing Challenging Interactions and Compassion (Self and Others) Watch Video
Displaying 261 - 270 of 6736 in Annals of Internal Medicine
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Displaying 261 - 270 of 4549 in IM Matters
Displaying 261 - 270 of 2336 in ACP Hospitalist
Displaying 261 - 270 of 500 in Annals of Internal Medicine: Clinical Cases
Vancomycin-Resistant Bacillus cereus Pneumonia and Bacteremia After Nonfatal Freshwater Drowning | Annals of Internal Medicine: Clinical Cases
Bacillus cereus, a gram-positive rod commonly found in natural environments, is often presumed to be a contaminant or associated with toxin-mediated gastrointestinal disease. Bacillus cereus rarely causes severe invasive infections. Here we describe the case of a previously healthy young man who had a nonfatal drowning incident in a freshwater lake, which resulted in acute respiratory distress syndrome requiring venovenous extracorporeal membrane oxygenation. He subsequently developed vancomycin-resistant B cereus pneumonia and bacteremia and died of complications of his disease. Bacillus cereus should be considered as a potential pathogen when repeatedly isolated from normally sterile sites, particularly in critically ill patients.
A Case of Treatment-Resistant Hyperthyroidism: The Need for a Broad Differential Diagnosis | Annals of Internal Medicine: Clinical Cases
Hyperthyroidism is a disease caused by increased production of thyroid hormones that can affect all organ systems within the body. The systemic effects of hyperthyroidism are diverse, ranging from palpitations and anxiety to thyroid storm and cardiogenic shock. Hyperthyroidism commonly is caused by autoimmune stimulation of the thyroid gland, nodules, and thyroiditis. We present a rare case of struma ovarii causing hyperthyroidism and atrial fibrillation.
Pemetrexed-Associated Pseudocellulitis: A Case Report | Annals of Internal Medicine: Clinical Cases
A clinical presentation of unilateral lower extremity edema, pain, and erythema is commonly diagnosed and treated as cellulitis in the inpatient setting. However, for patients with cancer, the differential diagnosis is broader. Here, we describe a case of chemotherapy-related acute lipodermatosclerosis-like eruption that was originally mistaken as cellulitis.
Superior Vena Cava Syndrome After Orthotopic Heart Transplantation | Annals of Internal Medicine: Clinical Cases
Superior vena cava syndrome is a constellation of clinical signs and symptoms resulting from the obstruction of blood flow through the superior vena cava. Although it rarely occurs in the setting of orthotopic heart transplantation, here we report a case that developed in the early postoperative setting. Our goal is to raise awareness of this entity, given the associated high fatality rate and potential challenges of timely recognition in the setting of sedation and mechanical ventilation.
Lemierre Syndrome Associated With Streptococcus constellatus: Rare Manifestations of a Rare Disease | Annals of Internal Medicine: Clinical Cases
Lemierre syndrome is characterized by septic thrombophlebitis resulting from an oropharyngeal infection. Commonly caused by the Fusobacterium necrophorum bacterium, 1.5% of cases of Lemierre syndrome are associated with Streptococcus constellatus. We report the case of a 48-year-old man who presented with respiratory insufficiency. He was diagnosed with Lemierre syndrome associated with Streptococcus constellatus and complicated by right sigmoid sinus thrombosis. The patient had multiple surgeries due to complications associated with severe retropharyngeal abscesses, mastoiditis, and cavitary lung lesions. This case is an exceedingly rare presentation of Lemierre syndrome associated with a combination of uncommon findings.
Cerebral Venous Thrombosis in a Transgender Man Receiving Testosterone Therapy and Progestin Implant | Annals of Internal Medicine: Clinical Cases
We report a case of a transgender man receiving testosterone and progestin therapy for gender-affirming care who presented with a progressive unilateral headache and was ultimately diagnosed with cerebral venous thrombosis. We review available evidence regarding the risk for cerebral venous thrombosis among patients receiving testosterone and progestin therapy in the context of gender-affirming care and outline our approach to the management of this case.
Post-Impella Sneeze Leading to Stroke and Emergent Cardiac Surgery | Annals of Internal Medicine: Clinical Cases
We present a rare case of stroke occurring after left ventricular support device removal. A 53-year-old man presented with left arm and left leg weakness that began after sneezing. He had been discharged 5 months previously after an Impella-supported coronary artery bypass graft. Computed tomography angiography scan of the chest showed a clot attached to the Impella graft from his previous surgery. Magnetic resonance imaging scan of the brain revealed multiple embolic infarcts. The graft and clots were removed successfully, and the patient's symptoms improved. This is the first reported case, to our knowledge, of stroke occurring months after Impella removal.
Myxedema of the Larynx: An Underrecognized Cause of Airway Compromise in Patients With Severe Hypothyroidism | Annals of Internal Medicine: Clinical Cases
Myxedema coma and severe hypothyroidism are rare diagnoses with a high rate of mortality. Associated respiratory failure is well recognized; however, airway compromise as the result of myxedema infrequently is discussed. We report a case of severe hypothyroidism resulting in respiratory compromise attributable to myxedematous infiltration of the larynx. A 62-year-old woman presented with confusion and severe hypothyroidism. Imaging demonstrated profound upper airway edema, and the results of a laryngoscopy suggested laryngeal myxedematous infiltration. She was emergently intubated and responded to thyroid hormone replacement. A review of the literature revealed 13 similar cases of laryngeal myxedema in patients with severe hypothyroidism, suggesting this complication may be more prevalent than initially appreciated.
Xanthogranulomatous Pyelonephritis With Emphysematous Pyelonephritis: A Case of Two Unusual Variants in One Patient | Annals of Internal Medicine: Clinical Cases
Xanthogranulomatous pyelonephritis (XGPN) and emphysematous pyelonephritis (EPN) are both rare forms of aggressive pyelonephritis that are associated with chronic urinary tract obstruction and recurrent urinary tract infection. Emphysematous pyelonephritis is characterized by necrotizing gas foci. Both have an abysmal prognosis. This report describes a 64-year-old woman presenting with acute gross hematuria and left flank pain after a flu-like illness. Diagnostic computed tomography of the abdomen identified both a right renal “bear paw sign” consistent with XGPN and multiple gas foci with air-fluid levels in the left kidney, pathognomonic of EPN. Fewer than 10 such cases of concurrence have been reported.
A Case of Stiff Person Syndrome | Annals of Internal Medicine: Clinical Cases
We describe a case of confirmed stiff person syndrome in an 86-year-old woman who initially presented for acute right lower-extremity pain and swelling. Her symptoms developed 10 days after her right foot was penetrated by a sewing needle. Her hospital course was complicated by progressive ascending spasms of the right upper and lower extremities, back, neck, and facial muscles, as well as intermittent hypoxia. She experienced some symptomatic improvement after treatment of suspected tetanus with tetanus immune globulin, a 10-day course of metronidazole, and aggressive antispasmodic management. She also was found to have high positive (>250 IU/mL) titers of antiglutamic acid decarboxylase antibodies in her serum and cerebrospinal fluid. Because both were greater than quantifiable thresholds, the results raised concern for an autoimmune cause of her symptoms. She was admitted to another hospital shortly after discharge for worsening respiratory distress in the setting of encephalopathy without muscle stiffness. Although her presentation is suggestive of stiff person syndrome, rapid progression of her symptoms is unusual for the typical course of the disease. We discuss several potential causes for her symptoms, including autoantibodies and infection from her needle-stick injury. We address in detail the features of her presentation concerning for the phenomenon of localized tetanus and the disease known as stiff person syndrome.