Search Results for ""

Displaying 81 - 90 of 241 in ACP Store

Alaska Chapter Fund

Your chapter donation directly impacts physicians in our area by contributing to chapter programming. When you give, you're investing in: Building Tomorrow's Leaders – Supporting programs and educational initiatives that guide medical students and residents as they develop into skilled Internal Medicine Physicians. Amplifying Our Professional Voice – Enabling our chapter to advocate effectively for policies that advance internal medicine and benefit the patients we serve. Connecting Our Community – Creating opportunities for physicians to collaborate, share knowledge, and support one another throughout their careers. Every contribution, regardless of size, makes a measurable difference in our chapter. Together, we're building a stronger future for internal medicine.

Generative AI for Physicians

Designed for physicians, this brief, self-paced primer covers generative artificial intelligence, including its capabilities, important terms, and use cases of gen AI tools in medicine. Learn about large language models and their impact on health care and get started with practice activities.

Primary Care Psychiatry: Practical Skills for Internal Medicine Physicians Recordings Package

Expert clinician-educators will provide a practical, evidence-based update for internal medicine physicians on approaches to interviewing patients with the goal of recognizing, diagnosing, treating, and/or referring patients with commonly encountered mental health disorders. Faculty with training in both internal medicine and psychiatry will emphasize the importance of a patient-centered approach, motivational interviewing, and quick cognitive behavioral techniques that can be quickly used in medical settings. A practical overview of psychopharmacology strategies in the general medical setting will also be discussed. Faculty will focus on psychiatric diagnoses that are prevalent in general medical practice, including major depressive disorder, anxiety disorders, trauma-related disorders, substance use disorders, chronic pain, and bipolar mood disorders, with a goal of improving recognition, confidence in management, and effectiveness of referral.

Hospital Medicine: Success in a Complex Environment Recordings Package

Highly experienced clinician faculty will provide essential updates on key medical issues, take you through the challenges of common and complex clinical conundrums, and address how to effectively improve the value of care provided to patients. The needs of the patient, as well as the impact on the hospital and hospitalist, will be considered in this highly practical, case-based curriculum.

Geriatrics and Palliative Medicine for Internal Medicine Physicians Recordings Package

Highly knowledgeable clinician educators will focus on practical, evidence-based strategies that the internal medicine physician can use across care settings to better identify and treat serious and chronic conditions common to older populations, such as cognitive impairment; function assessment, frailty, and falls; depression and anxiety; and hazards of hospitalization. Faculty will discuss primary palliative care approaches, including strategies for clinical decision making and deprescribing in the setting of complex medical conditions; providing a systematic approach to pain and symptom management; applying principles of prognostication to those with serious illness and advanced age; and serious illness communication skills.

Cardiology for the Internal Medicine Physician 2025: The Key Points Recordings Package

Expert clinician-educators will provide a focused update of the diagnostic, preventive, and therapeutic approaches to the patient at risk for, or with known, cardiovascular disease. Faculty will focus on the cardiovascular disease issues that internal medicine physicians most frequently encounter and will provide “key points” to update the audience and foster patient care.

Advances in Therapy Recordings Package

Expert clinician-educators will focus on pearls to help the practicing internal medicine physician maximize the utility of drug therapies. Newer medications and new uses for older medications will be covered. Current recommendations for “best therapy” for different diseases will also be covered. Common adverse effects of medications will be emphasized. Faculty will provide practical information on medications used for common medical problems, diabetes, and infectious diseases; safe use of medications in older patients; and drug interactions.

Perioperative Medicine 2025 Recordings Package

Expert clinician-educators will initially discuss preoperative anesthesia essentials, selection of validated cardiac risk assessment tools, venous thromboembolism prophylaxis in the most frequently performed surgeries, and antiplatelet agent management in patients with cardiac disease undergoing noncardiac surgery. Interspersed between these presentations will be clinical vignettes that complement the presentations and expand the topics discussed. The second phase of the course will be directed at the postoperative issues that face the medical consultants. These will include postoperative anesthesia issues; delirium and frailty assessment and treatments; postoperative cardiac complications including myocardial infarction, heart failure, and atrial fibrillation; and the appropriate use of perioperative anticoagulants. Each of these areas will be followed by clinical vignettes related to additional issues facing medical consultants in the postoperative period.

Diabetes for Internal Medicine Physicians 2025

Expert clinician-educators will discuss the diagnosis of prediabetes and diabetes, including atypical forms of diabetes in adults. Faculty will review the role of lifestyle interventions as well as appropriate indications and practical use of weight loss medications. The growing role of diabetes technology will be addressed and the risks and benefits of new insulin and noninsulin pharmacologic therapies will also be presented. The role of diabetes medications, cholesterol-lowering agents, and blood pressure control to reduce cardiometabolic risk will be thoroughly discussed.

Critical Care Medicine 2025 Recordings Package

An expert team of clinician-educators will provide a focused update on the diagnosis and management of common clinical issues encountered in the management of critically ill patients. Particular attention will be placed on new developments in the recognition of common critical care conditions, acute management of critical illness, and prevention of complications in the critically ill adult patient.

Previous See more results in ACP Store
Displaying 81 - 90 of 500 in Annals of Internal Medicine: Clinical Cases

Eosinophilic Pustular Folliculitis in a Patient With HIV Receiving Antiretrovirals | Annals of Internal Medicine: Clinical Cases

This case report describes eosinophilic pustular folliculitis in a patient with long-standing, well-controlled HIV. Eosinophilic pustular folliculitis is an uncommon inflammatory skin disease often associated with low CD4 counts and immune dysregulation in uncontrolled HIV, but its occurrence in patients with well-controlled HIV has not been previously described. This case highlights the importance of considering eosinophilic pustular folliculitis as a diagnosis in individuals with well-controlled HIV who have suboptimal CD4+ T cell functional recovery. The report emphasizes that while antiretrovirals have significantly improved HIV management, unique issues related to immune dysregulation are emerging in aging patients with long-standing, well-controlled HIV.

A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder | Annals of Internal Medicine: Clinical Cases

Telomere biology disorders represent a rare spectrum of disease caused by genetic defects of telomere maintenance with multisystem involvement, most often related to organ failure and aging. Ranging in severity, telomere biology disorders can appear in the absence of known risk factors. We present a young patient who developed rapid onset of bone marrow failure and cirrhosis, ultimately found to be due to an underlying disorder of telomere biology with mutations within the PARN and TERT genes.

A Case of Chronic Granulomatous Pancreatitis | Annals of Internal Medicine: Clinical Cases

We present a 23-year-old woman with a 4-year history of an ambiguous, nonmalignant pancreatic head mass and recurrent nausea/vomiting, right upper quadrant abdominal pain, jaundice, oral feeding intolerance, chronic portal vein thrombosis, and pancytopenia. A multidisciplinary effort with extensive history-taking, laboratory work-up, and repeated endoscopic ultrasound with fine-needle aspiration narrowed her differential diagnosis—which included IgG4-related disease—into the seventh instance of chronic granulomatous pancreatitis secondary to histoplasmosis that has been reported in the literature to our knowledge. The patient remains symptom free on her year-long course of itraconazole, and her satisfactory outcome is an exemplification of the diagnostic and therapeutic power in specialty consultation by hospitalists.

Simultaneous ST-Segment Elevation Myocardial Infarction and Stroke: A Rare Case of Cardiocerebral Infarction | Annals of Internal Medicine: Clinical Cases

Cardiocerebral infarction is defined as the simultaneous or sequential occurrence of myocardial infarction and stroke. We present a 62-year-old woman with concurrent ST-segment elevation myocardial infarction and minor ischemic stroke. Coronary angiography revealed multivessel coronary artery disease, with the obtuse marginal branches (OM1 and OM2) identified as culprit lesions. Following multidisciplinary evaluation, heparin and dual antiplatelet therapy were initiated, leading to resolution of neurologic deficits and successful percutaneous coronary intervention of the OM1 lesion. This case highlights the complexity of managing simultaneous cardiac and neurologic emergencies.

Steroid-Responsive Retroperitoneal Fibrosis and Sclerosing Mesenteritis as the Initial Manifestation of an Occult Neuroendocrine Tumor | Annals of Internal Medicine: Clinical Cases

Retroperitoneal fibrosis (RPF) and sclerosing mesenteritis (SM) are rare entities characterized by fibrous inflammatory tissue that can surround and compress adjacent abdominal structures, leading to organ damage. RPF and SM have rarely been reported to present simultaneously. Idiopathic forms of RPF and SM are typically treated with immunosuppression, whereas treatment of RPF and SM secondary to malignancy relies on treating the underlying malignancy. We present a patient with steroid-responsive RPF and SM ultimately found to be secondary to an occult small intestinal neuroendocrine tumor who responded to octreotide therapy for the underlying neuroendocrine tumor.

A Case of Secondary Hemophagocytic Lymphohistiocytosis in a Patient With Acute HIV Infection | Annals of Internal Medicine: Clinical Cases

A 22-year-old man who has sex with men with no significant medical history presented with a 2-week history of fever and right upper abdominal pain. Initial blood tests revealed leukopenia, thrombocytopenia, and elevated liver enzymes. The diagnosis of secondary hemophagocytic lymphohistiocytosis (HLH) was supported by fever, splenomegaly, hypertriglyceridemia, hyperferritinemia, and high soluble interleukin-2 receptors, meeting the 5/8 criteria of the Histiocyte Society-2004. Further laboratory tests indicated an elevated HIV RNA viral load, supporting a diagnosis of acute HIV infection. Our case suggests that identifying acute HIV infection as a trigger for secondary HLH is crucial for enabling prompt initiation of therapy, potentially preventing fatal outcomes.

An Unusual Case of Abdominal Pain in the Postpartum Period: A Case Report of Vernix Caseosa Peritonitis | Annals of Internal Medicine: Clinical Cases

Vernix caseosa peritonitis is a rare cause of peritonitis that can occur in the postpartum period. We present a case of diffuse abdominal pain 5-week postpartum that was unrelieved with antibiotics. Computed tomography of the abdomen showed phlegmonous peritonitis with nodularities. Omental node biopsy revealed necroinflammatory debris and multinucleate giant cells suggesting a noninfectious granulomatous process. Treatment with steroids resulted in significant improvement and decreased nodularity. Vernix caseosa peritonitis is caused by an inflammatory response attributable to maternal amniotic fluid spilling into the peritoneal cavity. It should be considered in the differential diagnosis of postcesarean acute abdomen thereby avoiding laparotomy and the unnecessary work-up and treatment.

Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis | Annals of Internal Medicine: Clinical Cases

We present a rare case of emphysematous pyelonephritis complicated by secondary emphysematous osteomyelitis, likely resulting from the hematogenous spread of Escherichia coli in a patient with multiple comorbid conditions. Early identification of computed tomography findings and prompt initiation of therapy resulted in a favorable outcome. This case underscores the importance of rapid diagnosis and intervention in patients with complex comorbid conditions, because early treatment can significantly improve outcomes.

Cardiac Spindle Cell Sarcoma Developed in a Patient With Extensive Cardiac History | Annals of Internal Medicine: Clinical Cases

A 76-year-old man with an extensive cardiac history presented with progressive dyspnea and was found to have a large cardiac sarcoma with positive MDM2. The mass occupied the left side of the heart, extended through the mitral valve orifice, and caused severe mitral valve disorders. Cardiac sarcomas are extremely rare, aggressive, and have a very poor prognosis. Owing to the rarity of the disease, treatment data are limited. However, sarcoma with MDM2 amplification may benefit from a combination of MDM2 inhibitor and immune checkpoint inhibitor. This report highlights the importance of a multimodality and multidisciplinary approach in clinical management of a rare primary cardiac tumor.

Syphilitic Hepatitis: An Atypical Presentation of an Uncommon Disease | Annals of Internal Medicine: Clinical Cases

Syphilitic hepatitis (SH) is a rare cause of liver disease and can be easily misdiagnosed. We present a case of an otherwise healthy young man hospitalized with marked acute liver injury without evidence of liver failure who, after an extensive work-up, was found to have SH. His diagnosis was confirmed by direct visualization of spirochetes on liver biopsy. This case highlights a unique presentation of SH and emphasizes the importance of taking a thorough sexual history.

Previous See more results in Annals of Internal Medicine: Clinical Cases