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Displaying 331 - 340 of 7611 in ACP Online
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
May 19, 2023
Nurturing Connections Through ACP Resources
Professional Fulfillment Zone
Recap of the Internal Medicine Meeting held in Boston, MA, April 18-20, 2024The Career and Professional Development Center in the Exhibit Hall was a one-stop shop for networking, Physician Peer Coaching, Mini But Mighty Skills sessions, and recharging in the Well-being Fun Zone.
Patients Before Paperwork
Advocacy in Action New ACP Leadership Shares Dedication to Strengthening the Voice of Physicians Dr. Isaac O. Opole, new ACP President, and Dr. William E. Fox, new Chair of the ACP Board of Regents, both credit involvement in ACP for their professional success.
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
The Biden-Harris Administration, through the U.S. Department of Health and Human Services (HHS), just released the 2024 National Strategy for Suicide Prevention and accompanying Federal Action Plan. Watch the HHS Secretary explain in 90 seconds this groundbreaking new initiative and how YOU can help. "Suicide is a complex public health problem, tragically impacting our friends, family members, neighbors and community members nationwide," said HHS Secretary Xavier Becerra.
From the Trenches
Learn the importance of: "Being There" From Travis Hoover, MD, resident physician in radiation oncology at the University of Maryland Read here! "How Do Our Minds Help (or Hinder) Finding Connection & Purpose?" From the latest episode of Surgeon General Dr. Vivek Murthy's House Calls podcast
Patients Before Paperwork
Advocacy in Action Congressional News and Perspectives ACP Champions Reauthorization of the Dr. Lorna Breen Health Care Provider Protection Act Passage of the reauthorization bill would expand the national education and awareness campaign and continue to provide solutions to reduce health care worker burnout.
Noteworthy Resources
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!
Displaying 331 - 340 of 6848 in Annals of Internal Medicine
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Displaying 331 - 340 of 3144 in IM Matters
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Displaying 331 - 340 of 500 in Annals of Internal Medicine: Clinical Cases
Chronic Lymphocytic Leukemia Involving the Liver Without High-Grade Transformation | Annals of Internal Medicine: Clinical Cases
Chronic lymphocytic leukemia is most frequently encountered among the elderly population. Hepatic infiltration may be present at the time of diagnosis, but significant extranodal involvement rarely occurs without high-grade transformation. Abnormal liver enzymes have important prognostic implications in terms of staging the disease and initiating treatment. We describe an atypical presentation of chronic lymphocytic leukemia in a patient who presented with rising liver enzyme levels, extensive hepatic infiltration, and portal hypertension but with no evidence of high-grade transformation on liver biopsy.
Unmasking of Asymptomatic Celiac Disease and Microscopic Colitis After Acquiring COVID-19 | Annals of Internal Medicine: Clinical Cases
Previous studies have suggested that viruses may trigger the development of autoimmune diseases such as celiac disease. We report a 75-year-old elderly man who developed intractable diarrhea after acquiring COVID-19. We suspect the COVID-19 unmasked or triggered histology-proven celiac disease (CD) and microscopic colitis (MC), which caused the diarrhea. Clinicians should be aware of the existence of CD and MC unmasked by SARS-CoV-2 in a COVID-19 patient who developed intractable diarrhea.
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.