February 2015

Incontinence may be exacerbated by consumption of such beverages as coffee and tea since patients may not count them as part of their daily fluid intake Photo by Amana Images

Incontinence can hide in middle age

Women may suffer debilitating quality-of-life issues from urinary incontinence yet never mention it to their primary care physicians. The condition can be successfully managed by nonsurgical and nonpharmacological means, if physicians can tactfully bring up the subject first.

SGLT2 inhibitors change glucose dynamic

The kidney's role in glucose production is as a producer and consumer of it, as well as filtering and reabsorbing it. SGLT2 inhibitors change that dynamic, creating new mechanisms, benefits and risks, and uncertainties that internists should know about this new drug class.

Experts agree on principles of diabetes care

Learn 10 guiding principles for the care of people with or at risk for diabetes.

Excellent internal medicine takes time

Internists often feel pressured to see patients in less time than patients need, creating dissatisfaction on both sides. The American College of Physicians is advocating for that time, to enhance the quality of each visit and allow for thoroughness and for reflection on the encounter.

How will the new Congress affect ACP's priorities?

ACP outlines its legislative agenda for the year, including resisting changes to the Affordable Care Act, preserving the Medicare primary care bonus program, and repealing the Medicare sustainable growth rate.

Urinary incontinence is overlooked but treatable

This issue covers topics including urinary incontinence, the new drug class of SGLT2 inhibitors for diabetes, and more on the principles of diabetes care.

ICD-10 changes looming amid a modern medical landscape

While some clinicians view the transition to ICD-10 as costly and burdensome, others feel that there are benefits for more accurately recording diagnoses. No matter which side of the issue, the conversion is likely to happen Oct. 1.

Getting patient consent for chronic care management

Medicare now reimburses internists for chronic care management services, but a few criteria need to be met. Learn more about how to recoup payment for services that many physicians are already providing.

Warnings on long-term dual antiplatelet therapy, more

This update covers the recall of rapid gram-negative combo panels, approval of an extended-release opioid analgesic, and a new rule about labeling prescription drugs related to pregnancy and lactation.

ACP history: Moving to Philly, dealing with the Depression

ACP's second decade saw upheaval, multiple moves, and a reluctant president accepting the office. Then, the Great Depression struck.


Obituaries for Charles B. Roehrig, MD, MACP, and Charles Turner, MD, MACP, are noted.

MKSAP Quiz: 1-week history of discharge

A 25-year-old woman is evaluated for a 1-week history of malodorous vaginal discharge associated with vulvar itching and burning. She is sexually active and has had three partners in the past 6 months. She has no history of sexually transmitted diseases. Following a physical exam and a saline microscopy, what is the most appropriate treatment?.