April 2017
The never-ending push-pull of statins
Statins have proven their potential to reduce end-point outcomes, such as death from cardiovascular disease. But the drug class also has some downsides, and the pros and the cons become a close call.
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
Warning on rare but serious allergic reactions to antiseptic
This column reviews details on recent recalls, warnings, and approvals.
Understanding MIPS, how much patients cost 'the system'
As physicians convert to the Merit-Based Incentive Payment System, they will eventually be required to consider the cost of care they deliver to patients.
New strategies required to battle antibiotic overuse
At least two million people each year in the United States are infected with bacteria that are resistant to antibiotics, and at least 23,000 people die each year as a result of these infections.
Doctors-in-training dealing with discrimination
Between 17% and 95% of medical trainees report mistreatment and discrimination. Strategies can be enacted to combat it.
After splenectomy, clots join infection as potential risks
Fewer splenectomies are being done, but thromboembolic disease afterward is now more recognized and therefore being diagnosed more frequently.
Courage, sacrifice, and internal medicine—a year in review
ACP's president reflects on his year of tenure and shares his convocation speech from Internal Medicine Meeting 2017.
ACP engages in the political process because it is necessary
There is almost nothing that physicians and the larger health care system can do for patients that isn't affected by what comes down from Washington. ACP must become involved in the political process.
Statins, gout guidelines fuel debate on best practice
This issue covers the debate about statins guidelines, evidence-based guidelines for gout, and physicians-in-training who face discrimination.
Getting patients moving
A letter to the editor addresses counseling for physical activity.
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?