February 2019


Heightened awareness of concussions offers physicians an opportunity to reassure patients that most mild traumatic brain injuries resolve within a week or two one expert said Image by alex-mit

Concussions cause cognitive concerns

Traumatic brain injury accounts for three million ED visits a year and at least another three to six million visits for outpatient medical care several days after the injury, without an ED visit.

Managing money for medical school

Medical students can expect to pay a median four-year bill of $250,222 for public and $330,180 for private education.

All health policy is political, as it must be

The very nature of ACP advocacy involves participating in politics and the political process.

International colleagues face familiar problems

The conversations taking place at international medical meetings could be taking place at our local chapter meetings.

Prioritize PE in high-risk patients with syncope

Emergency department physicians should always do a thorough workup on patients who present with syncope, although imaging for these patients in the ED does not appear to be necessary.

Narrative medicine skills bring physicians closer to patients

In an increasingly technological word, narrative medicine allows a physician to understand a patient's unique situation, to hear his or her story, and to imagine the world being described.

Breaking the cycle of patient trauma

A trauma-informed approach to health care involves recognition of the widespread impact of trauma and its signs and symptoms in patients and clinicians.

New cardiac warning for fluoroquinolones

This column reviews details on recent recalls, warnings, and approvals.

‘Tectonic’ change involves new reimbursement models

An expert offers four recommendations for tackling value and care model innovation.

No easy fix for concussion diagnosis, management

This issue also covers medical school debt trends, changes to hospital payments, and how to construct a patient narrative.

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.

MKSAP Quiz: Painful rash occurring bilaterally

A 32-year-old woman is evaluated for a painful rash occurring bilaterally on her lower extremities, which began 2 days ago. She was admitted to the hospital 5 days ago for diagnosis and treatment of pulmonary embolism with heparin and warfarin. Her father had a pulmonary embolism after a long airplane ride. Following a physical exam and lab studies, what is the most likely diagnosis?