March 2019

A digital cross-section illustrates the trachea and bronchioles in the lung of a patient with asthma Image by Dorling Kindersley RF

New management for asthma flare-ups

Any patient with asthma may have a flare or asthma exacerbation, so primary care physicians should be aware of risk factors that might alert them to the patients who are particularly at risk.

Evidence evolving on aspirin as prevention

Practice-changing points may influence how internists prescribe aspirin for the primary prevention of heart disease.

Understand factors that determine health, how they mix

Myriad aspects of life impact health, and these social determinants include multiple models that include more than the physical body.

Doctors and hospitals: Allies or adversaries?

While organizations representing hospitals and physicians often agree, there are three key areas in which they don't: site-neutral payments, buying physician practices, and hospital prices.

Sniffing out smell disorders

Awareness and early diagnosis are key to improving outcomes in cases of like anosmia and hyposmia, experts say.

Addressing unexpected loss during medical residency

Following the death of a trainee, one training director developed a framework to help others cope, including gathering resources, breaking the news, talking with the deceased's family, and handling memorial services, among other topics.

Recalls continue for hypertension medicines

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

Internal Medicine Meeting 2019 comes home to Philly

This year's Internal Medicine Meeting, held in Philadelphia for the first time since 2009, marks ACP's 100th annual educational gathering.

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.

Officer and Regents election results announced

The election of Officers and Regents has been completed. Terms become effective at the conclusion of the Annual Business Meeting and Town Hall at Internal Medicine Meeting 2019 in Philadelphia.

Asthma flare-ups face new evidence, new therapies

This issue also covers changing use of aspirin for cardiovascular disease, decreases in the ability to smell, and dealing with the unexpected loss of a medical trainee.

MKSAP Quiz: Lower abdominal pain, vaginal discharge

A 26-year-old woman is evaluated in the emergency department for lower abdominal pain with vaginal discharge. She reports no nausea or vomiting but noted vaginal bleeding after intercourse the previous night. Following a physical exam and negative urine pregnancy test, what is the most appropriate empiric treatment?