May 2021

Primary aldosteronism manifests across a broad severity spectrum not unlike that of diseases internists routinely treat such as hypercholesterolemia Image by 5second

A can't-miss cause of resistant hypertension

More than 20% of patients with resistant hypertension have primary aldosteronism, an underrecognized cause of hypertension and cardiovascular disease.

Osteoarthritis can ease with easy changes

An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.


The College has become a leader in the world of justice, equity, diversity, and inclusion. While it is tempting to feel a sense of accomplishment, there is a gnawing feeling that more needs to be done.

Include everyone in health and support their physicians

Eleven words sum up what ACP hopes to achieve: Include everyone in health and health care and support their physicians.

Correcting medicine's use of race in clinical algorithms

Recent efforts have pushed institutions to reconsider the use of race not just in estimating kidney function, but in a variety of algorithms and scores.

Giant-cell arteritis needs prompt action for good outcomes

The differential diagnosis of this condition can be challenging because many conditions can mimic it.

Experts weigh in on ethics of social media success

To some extent, physicians on social media must rely on their own best judgment informed by professional standards of conduct.

Taking the long view of thyroid cancer

Experts addressed appropriate surveillance after thyroid cancer treatment and tips for combating unhappiness in patients on thyroid replacement therapies.

First device approved to treat congenital heart disease

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

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.

Solution to resistant hypertension sometimes hides in plain sight

This issue also addresses stories about osteoarthritis, race and clinical algorithms, and follow-up care for thyroid cancers.

MKSAP Quiz: 4-week history of joint pain, rash

A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?

Edwin P. Maynard, MD, MACP

Edwin P. Maynard, MD, MACP, died on March 19.