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Displaying 291 - 300 of 7460 in ACP Online
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
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 ThrivingIf 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!
Displaying 291 - 300 of 6914 in Annals of Internal Medicine
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Displaying 291 - 300 of 3165 in IM Matters
Displaying 291 - 300 of 2449 in ACP Hospitalist
Displaying 291 - 300 of 499 in Annals of Internal Medicine: Clinical Cases
Multisystem Inflammatory Syndrome After Mild COVID-19 Infection in a Fully Vaccinated Adult | Annals of Internal Medicine: Clinical Cases
Multisystem inflammatory syndrome in adults (MIS-A) is a rare and severe complication of SARS-CoV-2 infection that is more common in children than adults. It is often underdiagnosed by physicians because of the heterogeneity of symptoms, overlapping comorbid conditions, and a lack of comprehensive work-up. Here, we present a patient case of MIS-A after mild COVID-19 infection in a fully vaccinated adult. The goal of this case is to describe the presentation of MIS-A in adults and review the associated laboratory results that can guide early diagnosis and management to improve outcomes.
An Immunocompromised Adult With Oral Ulcers | Annals of Internal Medicine: Clinical Cases
Infection with Histoplasma capsulatum has a broad spectrum of clinical manifestations, ranging from asymptomatic, subclinical infection in the immunocompetent host to severe, disseminated disease in the immunocompromised host. We report a case of disseminated histoplasmosis with oral mucocutaneous manifestations in a patient with advanced HIV/AIDS and poor antiretroviral adherence. We also discuss key aspects in the diagnosis and management of disseminated histoplasmosis in patients with HIV/AIDS.
Dermatomyositis Presenting as Pseudo-angioedema | Annals of Internal Medicine: Clinical Cases
Dermatomyositis is an autoimmune inflammatory myopathy that has a heterogeneous clinical presentation, which can make it difficult to diagnose. We present the first case report of Wong-type dermatomyositis presenting with pseudo-angioedema. A 65-year-old man presented with several months of facial swelling, dysphagia, and dysarthria. The patient developed a diffuse cutaneous rash, periorbital swelling, and proximal muscle weakness. Skin biopsy was consistent with a diagnosis of Wong-type dermatomyositis.
Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis | Annals of Internal Medicine: Clinical Cases
Magnesium-containing drugs such as magnesium citrate are popular over-the-counter laxatives used to treat constipation. Although generally well tolerated, excessive intake can result in potentially dangerous electrolyte abnormalities. Of these abnormalities, hyperkalemia is one that is heavily underreported. We report an elderly woman who presented for gastroparesis flare-up and constipation. She was given magnesium citrate and subsequently developed hypermagnesemia, which resulted in hyperkalemia. By presenting this case, we hope to increase awareness of this heavily underreported side effect of magnesium-based laxatives, especially in the setting of gastrointestinal disturbances that may affect the absorption of these electrolytes.
Uphill and Downhill Esophageal Varices Secondary to Pulmonary Hypertension | Annals of Internal Medicine: Clinical Cases
Downhill esophageal varices (EVs) are rare endoscopic findings and coincide with superior vena cava (SVC) obstruction. Historically, downhill EVs have been associated with malignancy, thrombosis, or iatrogenic SVC obstruction. Few cases of “benign obstruction”, as in pulmonary hypertension (PH) with tricuspid regurgitation (TR), have been reported. Downhill EV can result in life-threatening bleeds; however, there are no current guidelines regarding treatment or surveillance endoscopy. We report a case of both uphill and downhill EV due to benign obstruction from PH and TR, leading to the diagnosis of decompensated cirrhosis.
A Rare Cause of Severe Hypoglycemia in Intracranial Hemangiopericytoma Associated With Non-Islet Cell Tumor Hypoglycemia | Annals of Internal Medicine: Clinical Cases
A 60-year-old man with a history of metastatic intracranial hemangiopericytoma and type 2 diabetes mellitus presented with acute episodes of confusion and dizziness. A magnetic resonance imaging scan of the brain showed progressing calvarial metastasis without intracranial abnormality. He was found to have severe persistent hypoglycemia. The initial hypoglycemia work-up revealed low serum insulin and C-peptide level and negative panel for oral hypoglycemic agents. Further laboratory testing revealed an elevated insulin-like growth factor II (IGF II):IGF-I ratio and low β-hydroxybutyrate, consistent with nonislet cell tumor hypoglycemia. The patient received prednisone and his hypoglycemia improved.
Pancreatic Acinar Cell Carcinoma in the Setting of a BRCA1 Germline Mutation | Annals of Internal Medicine: Clinical Cases
Pancreatic acinar cell carcinoma (PACC) is a rare neoplasm of the exocrine pancreas. PACC’s molecular and genetic features are poorly elucidated compared with pancreatic ductal cell carcinoma. Here, we present the patient case of a woman in her late 60s, with a BRCA1 germline mutation and a medical history of breast and lung adenocarcinomas diagnosed with PACC. A literature search identified only 2 reported cases of PACC associated with a BRCA1 germline mutation.
Milk Alkali Syndrome Complicated by Calcium Impaction Causing Bowel Perforation | Annals of Internal Medicine: Clinical Cases
The milk-alkali syndrome consists of hypercalcemia, metabolic alkalosis, and acute kidney injury associated with the ingestion of large amounts of calcium and absorbable alkali. There has been a resurgence of this condition because of calcium therapy for prevention and treatment of osteoporosis, easy access to over-the-counter calcium carbonate preparations, and use of calcium carbonate to minimize secondary hyperparathyroidism in patients with chronic kidney disease. We report a rare patient case of severe milk-alkali syndrome resulting in hemodynamic instability and multiple metabolic derangements with severe intestinal obstruction in the setting of fecal impaction.
Tics in the Small Intestine: An Unusual Case of Jejunal Diverticulitis | Annals of Internal Medicine: Clinical Cases
Small bowel (SB) diverticulosis is rare and usually has an asymptomatic presentation. Diverticular microperforations provoke inflammation and diverticulitis. Given the disease rarity, no current treatment guidelines exist. Little is known regarding malignancy-associated SB diverticulitis and screening with endoscopic procedures, capsule endoscopy, or radiographic imaging may be difficult or inadequate. In this case, we report on a 64-year-old woman who presented with abdominal pain secondary to jejunal diverticulitis, received antibiotics with radiographic disease resolution, and will undergo malignancy screening with balloon enteroscopy.
Multiple Hepatosplenic Abscesses From an Uncommon Pathogen in a Patient With Acute Promyelocytic Leukemia | Annals of Internal Medicine: Clinical Cases
We report a patient case of Magnusiomyces capitatus fungemia with multiple hepatosplenic abscesses. Magnusiomyces spp. are rare but emerging, opportunistic fungal pathogens causing potentially lethal invasive disease, especially in patients with neutropenia secondary to chemotherapy for a hematologic malignancy. Given the frequent use of echinocandins as empirical therapy for febrile neutropenia, extra caution should be exercised if culture results indicate the presence of a yeast other than Candida species.