I.M. Matters from ACP provides news and information for internal medicine physicians about the practice of medicine.
Philadelphia
Joined June 2009
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Formal assessment of physical function helps predict patients' discharge disposition acpjournals.org/doi/10.7326/…
Antibiotics didn't improve outcomes in uncomplicated diverticulitis, review finds
Recurrence, complication, and mortality rates were similar in patients with acute uncomplicated diverticulitis who received antibiotics and those who didn't. acpjournals.org/doi/10.7326/…
Case report describes GI bleeding in Coats plus syndrome, a rare autosomal-recessive telomeropathy occurring from mutations in the CTC1 gene.
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Spotlight on monoclonal antibodies in EoE
A trial reported the effects of dupilumab on distensibility in EoE, and a narrative review described the overall state of research and practice on monoclonal antibody therapies for it. acpjournals.org/doi/10.7326/…
Lower threshold for starting second vasopressor not effective in septic shock acpjournals.org/doi/10.7326/…
Eating after dinner or bedtime was associated with significantly increased risk of developing MASLD or cirrhosis in participants without baseline liver disease, an observational study found. acpjournals.org/doi/10.7326/…
Perioperative hyponatremia treatment not associated with improved short-term outcomes acpjournals.org/doi/10.7326/…
New guidance addresses care for primary biliary cholangitis
The clinical practice guideline from @AmerGastroAssn, @AASLDtweets covers diagnosis, risk stratification, treatment, and prevention.
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ACP, Annals forum addresses management of menopausal symptoms
A recording of the virtual live forum on an evidence-based approach to managing peri- and postmenopause is now available. acpjournals.org/doi/10.7326/…
I.M. Matters from ACP retweeted
The latest episode of the Annals #ConsultGuys is online now. In this episode, Drs. Geno Merli and Howard Weitz discuss the evaluation and care of a woman who presents with symptoms suggestive of carpal tunnel syndrome. bit.ly/4iArv1y
I.M. Matters from ACP retweeted
A new study found that moderate to severe depressive symptoms affected 17.1% of adults with #Type1Diabetes, while 16.2% reported moderate to severe anxiety symptoms. Women, younger adults, and those with less than a high school education were at particularly high risk. The findings highlight the importance of #MentalHealth screening and support as part of comprehensive diabetes care. bit.ly/3WGDt12
EHR tool for primary care reduced falls among at-risk older patients, trial finds
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AKI patients' mortality higher with intermittent versus continuous renal replacement acpjournals.org/doi/10.7326/…
Pharmaceutical innovations in recent years have brought life-changing benefits, as well as new vocabulary, to patients around the world. But occasionally there also comes confusion. acpjournals.org/doi/10.7326/… @newmanities
Redefining risk in S. aureus bacteremia
An author of recent guidance explains the move away from simply describing S. aureus bacteremia as complicated or uncomplicated.
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Coprescription of contraception, antiseizure drugs common
Patients who had an intellectual disability, had drug-resistant epilepsy, or were older than age 35 years were more likely to be prescribed the combination acpjournals.org/doi/10.7326/…
1 in 6 adults with type 1 diabetes report moderate to severe depression, anxiety
Women, younger adults, and people with less than a high school education who had type 1 diabetes were more likely to experience moderate to severe symptoms. acpjournals.org/doi/10.7326/…
Second weekly insulin approved for type 2 diabetes
The FDA also approved the first generic versions of lisinopril oral solution and injectable ascorbic acid.
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I.M. Matters from ACP retweeted
ICYMI: A population-based cohort study found that pregnant people who used benzodiazepines during the first trimester were not at a substantially increased risk of having a baby with major birth defects. bit.ly/4sgjEK3
I.M. Matters from ACP retweeted
A new issue of Annals of Internal Medicine is online now. Read the latest at bit.ly/4rhjz7F
