Search results for "Critical care"
PERSPECTIVES 4 ACP Internist Last November, the debate over ...
While controversial, most internists,neurologists, and critical care intensivistssupport giving the t-PA agent alteplase within3 hours of an acute symptomatic ischemicstroke, as do most (not all) guidelines, includ-ing strong
https://immattersacp.org/archives/2017/04/acpi-201704-dynamed_t1.pdf
23 Mar 2017
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/09/latest-updates-on-acps-priorities-initiatives.htm
1 Sep 2020
New questionnaire appears to successfully identify COPD in primary care settings
A survey, combined with selective peak expiratory flow, was the best method for predicting undiagnosed, clinically significant chronic obstructive pulmonary disease, a recent case-control study found.
https://immattersacp.org/weekly/archives/2016/11/08/5.htm
8 Nov 2016
MKSAP Quiz: Gradually worsening dyspnea on exertion
A 32-year-old woman is evaluated for a 2-month history of gradually worsening dyspnea on exertion. She has difficulty climbing one flight of stairs, but has no wheezing or cough. After physical and cardiopulmonary exam, chest radiography, and spirometry, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/01/mksap-quiz-gradually-worsening-dyspnea-on-exertion.htm
1 Jan 2021
3 Cs: Corporatization, consolidation, commodification
Current trends in health care emphasize the importance of our continued advocacy efforts for our patients and our profession.
https://immattersacp.org/archives/2022/03/3-cs-corporatization-consolidation-commodification.htm
1 Mar 2022
Infusion sets, heparin recalled
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/10/infusion-sets-heparin-recalled.htm
1 Oct 2020
MKSAP Quiz: 6-month history of worsening exertional dyspnea
A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/01/10/3.htm
10 Jan 2017
MKSAP Quiz: 4-month history of cough, chest pressure
A 49-year-old man is evaluated for a 4-month history of cough, chest pressure, and double vision. He has no fever, night sweats, or weight loss. He has never smoked. Following a physical exam and a CT scan of the chest, what is the most appropriate test to perform next?
https://immattersacp.org/archives/2021/04/mksap-quiz-4-month-history-of-cough-chest-pressure.htm
1 Apr 2021
MKSAP Quiz: follow-up for a right-sided pleural effusion
A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable. Following chest radiographs and repeat thoracentesis, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/09/27/3.htm
27 Sep 2016
MKSAP Quiz: declining exercise capacity over the past year
A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/06/28/3.htm
28 Jun 2016