Search results for "Critical care"
Advice for physicians requesting air medical transport
When picturing air medical transport, many people think of helicopters, but there are often other options.
https://immattersacp.org/archives/2017/01/air-medical-transport.htm
1 Jan 2017
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
What to expect when volunteering in war-torn regions
A new training program simulates a humanitarian crisis and teaches physicians how to determine basic living needs and the health care infrastructure required to meet them.
https://immattersacp.org/archives/2017/03/volunteering.htm
1 Mar 2017
MKSAP Quiz: Evaluated in the ED after a fall
A 66-year-old man is evaluated in the emergency department following a fall 3 days ago, when he struck the right side of his chest against a table. Since that time he has experienced right-sided pleuritic chest pain and difficulty taking a deep breath. Following a physical exam, oxygen saturation, and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/03/mksap.htm
1 Mar 2017
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
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?
https://immattersacp.org/archives/2017/04/dynamed.htm
1 Apr 2017
Managing superbugs in your community
General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017
MKSAP Quiz: 1-year history of increasing dyspnea
A 72-year-old man is evaluated for a 2-year history of cough and a 1-year history of increasing dyspnea. He describes the cough as nonproductive, and his shortness of breath is worse with exertion. He does not have chest pain, orthopnea, paroxysmal nocturnal dyspnea, or any other symptoms. He has a 15-pack-year smoking history but quit 40 years ago. He worked as a construction worker for 40 years. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/05/02/3.htm
2 May 2017
Clearing patients for takeoff a new duty for internists
More than 100,000 pilots annually can now request a comprehensive physical examination and medication review from any state-licensed physician. What should internists look for when faced with such a request?
https://immattersacp.org/archives/2017/07/clearing-patients-for-takeoff-a-new-duty-for-internists.htm
1 Jul 2017
MKSAP quiz: Evaluation for hematemesis
A 57-year-old woman is evaluated in the emergency department for an episode of hematemesis that occurred 1 hour ago. She had previously felt well except for a recent knee injury, for which she has been taking ibuprofen. She currently is experiencing lightheadedness and weakness. Following a physical exam and lab studies, what is the most appropriate form of catheter access for this patient?
https://immattersacp.org/weekly/archives/2017/08/08/3.htm
8 Aug 2017