Search results for "Critical care"
MKSAP Quiz: Routine follow-up for very severe COPD
A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/11/07/3.htm
7 Nov 2017
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
MKSAP Quiz: Follow-up for idiopathic pulmonary fibrosis
A 58-year-old man is evaluated in follow-up for idiopathic pulmonary fibrosis (IPF), which was diagnosed 2 years ago. He has cough and shortness of breath and now requires supplemental oxygen at rest. Previous evaluations have not identified any cause for his symptoms other than progressive IPF. Following a physical exam, pulmonary exam, and 6-minute walk test, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/02/27/3.htm
27 Feb 2018
When visits become ‘on the record’
With recording technology becoming ubiquitous, more patients are recording their encounters with physicians, sometimes without their knowledge.
https://immattersacp.org/archives/2018/04/when-visits-become-on-the-record.htm
1 Apr 2018
MKSAP Quiz: Acute onset of fever, chills, cough
A 27-year-old man is evaluated for the acute onset of fever, chills, body aches, and dry cough that began last evening after returning home from trimming timber at a saw mill. He has similar symptoms that have been occurring two to three times a month for the past 3 months. Following a physical exam, pulmonary exam, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/05/mksap-quiz-acute-onset-of-fever-chills-cough.htm
1 May 2018
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
MKSAP Quiz: Follow-up for severe COPD
A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. Following a physical exam and other tests, what is most likely to benefit this patient?
https://immattersacp.org/weekly/archives/2018/08/14/3.htm
14 Aug 2018
Now trending: Internal medicine podcasts for education
Medical podcasts, videos, and other social media won't replace traditional medical education, yet they have grown to become part of the modern physician's learning toolkit.
https://immattersacp.org/archives/2018/10/now-trending-internal-medicine-podcasts-for-education.htm
1 Oct 2018
Nominees named for College Officer and Regent positions
ACP announces its elections slate for governance positions.
https://immattersacp.org/archives/2018/11/nominees-named-for-college-officer-and-regent-positions.htm
1 Nov 2018
Decision aid did not help surrogates, clinicians agree on treatment goals for critically ill patients
Nearly all surrogates chose a more aggressive treatment goal for patients on life support than was suggested by a decision aid, despite the aid being based on surrogates' reports of patients' values.
https://immattersacp.org/weekly/archives/2019/01/29/5.htm
29 Jan 2019