January 23, 2020
Check Your Answer for the NYACP-MedQuest IM Question of the Week
Another question is headed your way on Tuesday, January 28th!
A 35-year-old female was evaluated in the emergency department with chest pain that started five days ago which is gradually increasing. The pain is sharp, not radiating, and worse when lying flat. She does not have shortness of breath, palpitations, dizziness or edema. The patient had similar symptoms twice within last two years. She was treated with aspirin which the patient says is not effective.
Her family history is remarkable for SLE in her mother.
Vitals: HR 78 per min, BP 125/75 mmHg, respiratory rate 15 per min, O2 sat 97%. Her physical exam reveals an abnormal scratch sound on auscultation of the heart. It is loudest at the left lower sternal border during suspended respiration while the patient is leaning forward. Her lungs are clear to auscultation. Abdomen is soft and not distended on palpation. CBC and serum chemistry tests are normal. EKG shows ST segment elevation in all leads, PR-segment depression. Echocardiogram shows normal LV function and a minimal amount of pericardial effusion.
Which of these is most likely to decrease recurrences of the problem?
Responses Received from Members (681 Total):
A. Pericardiectomy (8%)
B. Aspirin and Prednisone for two months (9%)
C. Prednisone tapering dose for one month (14%)
D. Aspirin for three months (4%)
E. Colchicine with aspirin for six months (65%)
Correct Response is:
E. Colchicine with aspirin for six months
New 2020 Merit-based Incentive Payment System (MIPS) Resources Now Available on the QPP Resource Library!
CMS has posted the following new Quality Payment Program (QPP) resources to the QPP Resource Library to help clinicians understand how to participate in QPP in the 2020 performance period:
For More Information
NYACP Youth Vaping Position
The NYACP strongly supports the efforts by the New York Legislature to stop the growing trend of youth vaping through increased regulation of e-cigarettes.
Last week ACP Advocacy Interns Dr. Austin Schnitzer and Dr. Maaz Shiekh attended a press conference organized by Flavors Hook Kids NY campaign to announce bills banning all flavored tobacco products. Proposed bills S.428-B/A.47-A would ban the sale of flavored e-cigarettes and S.6809/A.8808 would ban flavored combustible and smokeless tobacco, including menthol cigarettes. This week the bills are moving through their respective committees towards a vote in the Senate and the Assembly.
1.21.20 NYS Budget Proposals:
On Tuesday, January 21st, Governor Cuomo released his budget for NYS fiscal year 2021, which begins April 1, 2020. The proposed budget has a number of provisions that are relevant to physicians: