October 2025


Hormonal changes resulting from menopause cause a thinning of the mucosa of the vagina vulva urethra and base of the bladder increasing the risk of urinary tract infections in postmenopausal women

Remedying recurrent UTIs in menopause

Hormonal changes must be taken into account for recurrent urinary tract infections associated with menopause.

PCPs play pivotal role in poststroke recovery

Enormous opportunities exist to keep people healthy after stroke, which depend on coordinated, aggressive follow-up, starting with a primary care team.

Mis- and disinformation can cost lives

The greatest danger to the individual receiving misinformation and disinformation is that they may use it to inform decisions that directly impact their health and life.

These are scary times for public health

Actions taken by leadership at the Department of Health and Human Services are creating confusion and slowly killing off the science and research that public health depends on.

Ask the right questions to diagnose dyspnea

An expert offers advice on diagnosing dyspnea, which can affect about one-third of ambulatory people older than age 65 years.

Hello, my name is …

The first greeting with a patient can set the tone for how they see their doctor.

Experts offer advice on vaccination decisions

An ACP/Annals forum aimed to provide practical information to enable well-informed decisions about vaccines amid the political tumult of recent years.

Listening for better patient communication, connection

Three levels of listening can help with the diagnosis, an expert says.

FDA approves new restrictions on COVID-19 vaccines

This column reviews recent recalls, alerts, 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, I.M. Matters Weekly from ACP.

MKSAP Quiz: Evaluation after bilateral mastectomy

A 55-year-old woman is evaluated after undergoing bilateral mastectomy for bilateral estrogen receptor–positive, progesterone receptor–positive ductal carcinoma in situ. Following a physical exam and lab studies, what is the most appropriate management?

Undoing UTIs, overseeing stroke survivors, and more stories

This month's issue also covers patient introductions, the latest on vaccination in the U.S., and dyspnea.