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Displaying 331 - 340 of 7460 in ACP Online

March 21, 2025

Promoting Well-being at ACP Internal Medicine Meeting 2025

Professional Fulfillment Zone

Well-being Champion Curriculum Available Now to ALL ACP MembersWe are excited to announce that the ACP Well-being Champion modules are now available through the Online Learning Center!

Patients Before Paperwork

Advocacy in ActionLatest ACP AdvocacyACP advocates for you on policy changes that will make a difference in your daily work, your professional development, and your patients' health.Read here!

Noteworthy Resources for Well-being

New! WBC Social Share ZoneAttention all WBCs and ACP Chapter Leaders! Please take some time to explore our new Social Share Zone. We have compiled shareable graphics and resources highlighting well-being that you can use on social media, in presentations, or at your events. In addition, you will find resources on trauma education, physician suicide awareness, and ACP's Mini But Mighty Skills.Social Share Zone

In the News

Physicians Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of PhysiciansAnnals of Internal Medicine: L. Snyder Sulmasy, JD; J.K. Carney, MD, MPHACP Urges Precision in Health Care Terms: Don't Label Physicians Providers

From the Trenches

“Creative Wellness: A Journey Through Trust, Art, and Healing”In an essay originally published in REVAMP by the Center for Human and Organizational Potential, Vidya Sundareshan, MD, MPH, FACP, FIDSA, discusses how creativity isn't a luxury or a side project. It's a form of self-care, as essential as sleep or exercise.Read here!

March 20, 2026

Start a Domino Effect for Well-being Right Where You Are“Being a Well-being Champion came with some struggles early on, but it taught me how to welcome challenges and bring about change.

Patients Before Paperwork

What are ACP's Legislative, Regulatory, and Advocacy Priorities for 2023? Join us for our next webinar! ACP's legislative, regulatory, and advocacy priorities are always evolving. Join us on March 23, 2023, at 8:00 p.m. ET, as Shari Erickson, MPH (ACP's Chief Advocacy Officer and Senior Vice President of Governmental Affairs and Public Policy) takes a deep dive into ACP's priorities for 2023 and the role they play in shaping health care. Following the presentation, there will be a live Q&A session. Please submit your questions in advance when registering.

Noteworthy Resources

Well-being Champion Training: Coaching Revisit your coaching curriculum for a refresher. This training explains coaching and the role you may decide to assume as an ACP Well-being Champion (WBC) peer coach. Even if you decide not to be a peer coach, the techniques you will learn in this training will help you succeed in your role as a WBC.

In the News

“I Cry and No One Cares”: Medscape Survey Shows Doctor Burnout, Depression Is Getting Worse by Anastassia Gliadkovskaya More than a third of doctors said they would rather not tell others about their depression, highlighting ongoing stigma for physicians seeking mental health support. Four in 10 believe people will think less of their professional abilities and fear the medical board or their employer will find out.

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Displaying 331 - 340 of 499 in Annals of Internal Medicine: Clinical Cases

Lethal Thalassospira povalilytica Sepsis in a Patient With Asplenia: An Alert for Clinicians | Annals of Internal Medicine: Clinical Cases

In patients with asplenia, Streptococcus pneumoniae is the most common cause of overwhelming sepsis; however, many other pathogens also need to be considered. Thalassospira povalilytica, a marine bacterium, can cause invasive infectious diseases in such patients. Here, we describe the case of a previously healthy 65-year-old man, who presented with a 2-day history of fever and died within 24 hours because of lethal sepsis caused by T povalilytica. This case should alert clinicians regarding the potential of lethal infections caused by T povalilytica.

Blastomycosis Pneumonia as an Unusual Cause of Horner Syndrome: Case Report and Review | Annals of Internal Medicine: Clinical Cases

We describe an immunocompetent patient with Horner syndrome secondary to invasive Blastomyces pneumonia and provide a review of the rare infectious etiologies of this syndrome. To our knowledge, this is the first published human case report of Horner syndrome secondary to Blastomyces pneumonia.

Nyctalopia and Bitot Spots | Annals of Internal Medicine: Clinical Cases

Vitamin A deficiency is endemic in resource-poor areas of low- and middle-income countries in Latin America, sub-Saharan Africa, and South Asia. Although rare in the United States, individuals at risk such as the homeless, those with malabsorptive disorders, or any person with a chronically poor diet may present pathognomonic clinical signs and symptoms.

An Uncommon Cause of Severe Polyradiculopathy | Annals of Internal Medicine: Clinical Cases

A 60-year-old man with well-controlled HIV presented to a tertiary care center in Arizona 6 weeks after the abrupt onset of lower extremity weakness that had developed over 1 day and progressed to paraparesis. Imaging revealed diffuse abnormal ventral root enhancement of the cauda equina. Laboratory testing confirmed neuroinvasive West Nile virus infection causing flaccid paralysis. This case highlights a dangerous complication of West Nile virus and the need for a high index of suspicion in endemic areas.

Osteomyelitis Pubis After Initiation of an SGLT2 Inhibitor | Annals of Internal Medicine: Clinical Cases

Osteomyelitis pubis is a rare infectious entity that is often misdiagnosed. Early clinical suspicion and appropriate diagnostic workup are required to prevent a delay in diagnosis and to differentiate the disease from alternative noninfectious diagnoses such as osteitis pubis. Herein, we report a case of osteomyelitis pubis with delayed diagnosis in a patient who recently initiated an SGLT2 inhibitor before the onset of symptoms. The effect of SGLT2 inhibitors on the risk of this disease is unknown but may warrant further investigation, as this case highlights.

Successful Management of Spontaneous Pneumatocele and Pneumothorax Formation After COVID-19 Infection | Annals of Internal Medicine: Clinical Cases

Pneumatoceles are rarely encountered in the clinical setting. Very few cases have been documented that involved COVID-19 pneumonia as a cause. Furthermore, even fewer cases document spontaneous pneumothorax complicating the pneumatocele that required urgent intervention. We present a case of a patient who developed a pneumatocele as a complication of symptomatic COVID-19 infection. The patient's clinical course was further complicated by spontaneous pneumothorax formation. The patient had thoracostomy and video-assisted thoracoscopic surgery. Here we describe the patient's clinical course in detail.

A Puzzling Case of Rapidly Progressive Global CNS Deterioration From Intravascular Large-Cell Lymphoma | Annals of Internal Medicine: Clinical Cases

Intravascular large-cell lymphoma is a rare, aggressive subtype of B-cell lymphoma leading to microvascular organ dysfunction. It often presents nonspecifically and is difficult to diagnose, with a rapidly progressive course. It classically presents with “B” symptoms, although any organ system can be affected. Neurologic symptoms vary but can involve rapid neurologic deterioration. It lacks association with a primary tumor or malignant cells in the blood or bone marrow, so diagnosis is difficult, made only by biopsy of affected tissues. Because of its rarity and often aggressive course, increased clinician familiarity is key to facilitating early diagnosis and proper management.

When the Hoofbeats Are Zebras | Annals of Internal Medicine: Clinical Cases

Nearly 2 decades into the genomic era, individuals with mendelian disorders, which are conditions caused by pathogenic variation in a single gene, have experienced improved health outcomes and life expectancy. Clinicians must be able to identify and care for these patients across the lifespan. Recognizing common presentations of mendelian disorders can prevent invasive testing, shorten the diagnostic odyssey, and permit treatment. Medical education should encourage clinical genetics literacy, including basic understanding of genetic testing. Vakharia et al demonstrate how knowledge of rare monogenic conditions, specifically inherited metabolic disorders, can improve clinical care and patient health. Greater awareness and application of medical genetics is necessary in modern medicine.

A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly | Annals of Internal Medicine: Clinical Cases

Celiacomesentric trunk (CMT) is a rare vascular anomaly with a common origin for the celiac artery and superior mesenteric artery. To our knowledge, this is the first case of superior mesenteric artery (SMA) dissection in patients with CMT. Here, we discuss a case of a 65-year-old male with acute-onset epigastric pain who was found to have SMA dissection with CMT. He was treated conservatively with symptomatic improvement. Diagnostic imaging studies include computed tomography (CT) scanning of the abdomen with or without contrast and CT angiography. Management options include a conservative approach, endovascular repair, and surgical management based on the classification/location of the dissection.

Euglycemic Diabetic Ketoacidosis Related to SGLT2 Inhibitor Use in a Patient With Cobalamin C Deficiency and Diabetes | Annals of Internal Medicine: Clinical Cases

A 24-year-old woman with cobalamin C deficiency (CblCD), autoimmune thyroiditis, and recently diagnosed diabetes mellitus presented with weight loss, emesis, and abdominal pain. She had been placed on sodium-glucose cotransporter inhibitor (SGLT2i) therapy because of metformin intolerance, with the addition of a dipeptidyl peptidase-4 inhibitor. Biochemical analyses demonstrated severe acidosis, initially attributed to CblC-associated metabolic decompensation. Subsequent evaluation led to the diagnosis of SGLT2i-induced euglycemic diabetic ketoacidosis in a patient with type 1 diabetes mellitus. This case highlights the importance of assessing for insulin deficiency when evaluating acidosis and the management challenges of common diseases in adults with inherited metabolic disorders.

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