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MKSAP Quiz: exertional chest pain of 3 months' duration

A 68-year-old man is evaluated for exertional chest pain of 3 months' duration. He describes the chest pain as pressure in the midsternal area with no radiation that occurs with walking one to two blocks and resolves with rest or sublingual nitroglycerin. No symptoms have occurred at rest. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/01/07/3.htm
7 Jan 2014

When and how to use new phone and Internet E/M coding

There are three new codes for providing E/M over the telephone and one new code for E/M services provided via Internet resources.
https://immattersacp.org/archives/2008/04/ten.htm
1 Apr 2008

Fibromyalgia's symptoms real but be cautious in diagnosis

A rheumatologist with 25 years of fibromyalgia research experience questions the current paradigm surrounding the elusive illness.
https://immattersacp.org/archives/2009/05/fibromyalgia.htm
1 May 2009

Unique state of payments as Maryland uses uniform prices

Hospital charges in Maryland have been set by the state for 4 decades, and more reforms are on the way. The effort has led to all insurers paying the same price for the same services in the same hospitals, and now, the state is looking to improve facilities' readmission rates and other quality metrics.
https://immattersacp.org/archives/2014/04/hospital.htm
1 Apr 2014

Expert hints at how GI practices can keep coding current

Medicare's Recovery Audit Contractors are, in fact, auditing physicians more than ever. The “incident toâ€ï¿½ provision and teaching physician guidelines cause the greatest confusion and require special attention to ensure they are used correctly.
https://immattersacp.org/archives/2009/09/gastrocoding.htm
1 Sep 2009

Adult immunization rates fall far short of goals

The CDC's Healthy People 2010 campaign aimed to have 60% of high-risk patients under 65 vaccinated against pneumonia and influenza. Actual immunization rates may be half of that. The president of the National Foundation for Infectious Diseases describes the barriers and the solutions.
https://immattersacp.org/archives/2011/04/immunize.htm
1 Apr 2011

Boxed warning added to gout drug, more ARBs recalled

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/04/boxed-warning-added-to-gout-drug-more-arbs-recalled.htm
1 Apr 2019

Risks seen with anemia, asthma drugs; insulin syringes recalled

Warnings, recalls and updates from the Food and Drug Administration.
https://immattersacp.org/archives/2010/04/fda.htm
1 Apr 2010

Generic pioglitazone, new HIV combination pill approved

This regulatory update covers approvals of the first generic form of pioglitazone and a combination form of emtricitabine, tonofavir and two new drugs for patients new to HIV treatment.
https://immattersacp.org/archives/2012/11/fda.htm
1 Nov 2012

It's all about the history in diagnosing fever of unknown origin

There are 4 types of fever of unknown origin, and distinguishing among them starts with the first step: Look for clues from the history and other presenting symptoms.
https://immattersacp.org/archives/2014/06/fever.htm
1 Jun 2014

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