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
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
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
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
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
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: 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
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