ACP 2021

Highlights from the ACP Internal Medicine Meeting, April 29 - May 1.

What You Need to Know about New E/M Codes for 2021

Significant changes to the way physicians document and code outpatient evaluation and management services have been made, effective January 1, 2021.

Proper Administration of Insulin Can Reduce Complexity of Patient's Hospital Course

In-hospital management of the patients with diabetes poses many challenges but also a unique opportunity to improve glycemic control and patient care.

Urology for the Internist: the Latest on Management of Asymptomatic Hematuria and BPH, and Prostate Cancer Risk Assessment

Updates in the management of asymptomatic hematuria, benign prostatic hyperplasia (BPH), and the assessment of prostate cancer risk were provided by Jesse Mills, MD, Director, The Men’s Clinic at the University of California, Los Angeles.

Guidance Offered for Managing Acute Non-Stroke Neurologic Emergencies

Tips to diagnose, distinguish, and manage acute nonstroke neurologic emergencies were offered by Megan Richie, MD, assistant clinical professor, Department of Neurology, University of California San Francisco.

Cancer Care in the Older Adult: Think of Geriatric Assessment as 'Staging the Age'

Older patients may require special consideration during decision-making for cancer treatment.

Outcomes in older adults with cancer are highly variable, and therefore management decisions should consider the likelihood of benefit, the likelihood of harm, and the patient’s values and preference, said Grant Williams, MD.

To Treat Adrenal Insufficiency, First Suspect and Detect It

The diagnosis and management of adrenal insufficiency (AI) in the inpatient and critical care settings start with a high index of suspicion. “If you don’t suspect it, you’re not going to detect it,” said Lynnette Nieman, MD.

Direct-Acting Oral Anticoagulants: Consider Risk Factors for Thrombosis and Bleeding in Decision to Use, Dosing

Pearls for using direct oral anticoagulants (DOACs) in different scenarios were offered by Stephan Moll, MD, professor of medicine, University of North Carolina School of Medicine, Chapel Hill.

Let History and Physical Examination Guide Your Testing in Patients with Syncope

A structured comprehensive history and physical examination focusing on orthostatics and a cardiac and neurologic examination will identify the cause of syncope in almost half of patients. Patients who are admitted without a clear low-risk etiology for syncope should be considered for imaging to rule out pulmonary embolism (PE) with a positive D-dimer, said Daniel Dressler, MD.

Subclinical Hypothyroidism: Not Every Patient Requires Treatment

Treatment of subclinical hypothyroidism is generally recommended with an initial level of thyroid stimulating hormone >10 mIU/L.

Inpatient Hypertension Management: Emergencies Need Iv Therapy, Use Single-Pill Combinations when Transitioning to Outpatient

Hypertensive emergencies require intravenous (IV) therapy, with the goal of reducing systolic blood pressure (BP) to <140 mm Hg, or to <120 mm Hg in a patient with aortic dissection, said George Bakris, MD. If left untreated, the median survival of a patient with a hypertensive emergency is 10.4 months.1