Search results for "Critical care"
MKSAP Quiz: severe COPD with multiple exacerbations
A 72-year-old woman is evaluated during a routine examination. She has very severe COPD with multiple exacerbations. She has dyspnea at all times with decreased exercise capacity. She does not have cough or any change in baseline sputum production. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/06/09/3.htm
9 Jun 2015
Point-of-care and critical care ultrasound—register now for November course
The course uses cadavers, live models, simulations, and lectures to provide a comprehensive look at how ultrasound can effectively be used in point-of-care and critical care settings.
https://immattersacp.org/weekly/archives/2015/06/23/6.htm
23 Jun 2015
Guideline updates treatments for idiopathic pulmonary fibrosis
The guideline included a strong recommendation against the use of warfarin, among other medications.
https://immattersacp.org/weekly/archives/2015/07/21/2.htm
21 Jul 2015
Point-of-care and critical care ultrasound—register now for November course
The course uses cadavers, live models, simulations, and lectures to provide a comprehensive look at how ultrasound can effectively be used in point-of-care and critical care settings.
https://immattersacp.org/weekly/archives/2015/08/11/6.htm
11 Aug 2015
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
Optimizing medical therapy after stroke
Stroke survivors often leave the hospital with new prescriptions and substantial confusion about how, or even whether, to take them. This leaves internists with the sometimes formidable job of evaluating, prescribing, or tweaking these regimens, identifying and managing adverse effects, and reinforcing education about treatment risks, benefits, and adherence.
https://immattersacp.org/archives/2016/06/stroke.htm
1 Jun 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
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
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
Corticosteroids have fallen out of favor for COPD care
A single study has gone a long way toward changing clinical practices.
https://immattersacp.org/archives/2017/01/COPD-care.htm
1 Jan 2017