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Medicare now reimburses for problem drinking as part of its Annual Wellness Visit, and a few easy-to-follow tips can help doctors screen for alcohol abuse and get paid for doing so.
https://immattersacp.org/archives/2012/09/tips.htm
1 Sep 2012
MKSAP Quiz: preoperative evaluation for knee replacement
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014
Taking a drink: what patients should know
Alcohol is associated with so many benefits and harms that it's hard to know where to start talking to patients about using it. One place might be alcohol misuse and abuse. Teach patients where they fall on the continuum of drinking behavior.
https://immattersacp.org/archives/2013/01/alcohol.htm
1 Jan 2013
Task Force recommends screening all adults for alcohol misuse
Clinicians should screen all adults 18 and over, including pregnant women, for alcohol misuse and should provide brief behavioral counseling interventions to patients engaged in risky or hazardous drinking, the U.S. Preventive Services Task Force recently announced.
https://immattersacp.org/weekly/archives/2013/05/14/2.htm
14 May 2013
Warning on medication confusion, recalls due to sterility
This update covers possible confusion between an antidepressant and an anti-clotting drug, as well as 2 sterility warnings.
https://immattersacp.org/archives/2015/10/fda.htm
1 Oct 2015
MKSAP Quiz: 6-month history of abdominal pain
This week's quiz asks readers to evaluate a 35-year-old woman with a 6-month history of right upper quadrant abdominal pain.
https://immattersacp.org/weekly/archives/2012/02/14/3.htm
14 Feb 2012
Safe prescribing can lessen overdose risk
In what one commentator called an “appalling” finding, 90% of patients in a recent study admitted to a hospital with a prescription opioid overdose eventually received another opioid prescription##mdash;often from the same clinician. Efforts to improve safe prescribing hope to fix the problem.
https://immattersacp.org/archives/2016/10/overdose.htm
1 Oct 2016
ACPNET brings continuing medical education into the clinic
We all appreciate that studying and learning are lifetime essentials for being a good physician.
https://immattersacp.org/archives/2008/03/president.htm
1 Mar 2008
MKSAP Quiz: 6-week history of blisters
A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017
Helping patients handle information overload
Finding out why a patient is concerned about health care news can be an opening for a larger discussion about health goals.
https://immattersacp.org/archives/2018/01/helping-patients-handle-information-overload.htm
1 Jan 2018