Search results for "Critical care"
MKSAP Quiz: 1-year history of cough
A 38-year-old man is evaluated for a 1-year history of cough with mucoid sputum and a 6-month history of mildly progressive dyspnea. He has a 12-pack-year history of smoking. He has no history of asthma, allergies, skin disease, or liver disease. Following physical and pulmonary exams and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/06/10/3.htm
10 Jun 2014
Potential changes questioned for advanced cardiac life support
The Advanced Cardiac Life Support guidelines are due out in 2015 and may pose some shocking changes: faster beats-per-minute chest compressions, a de-emphasis on hypothermia, and a new length of time for continuing cardiopulmonary resuscitation.
https://immattersacp.org/archives/2014/04/cardiac.htm
1 Apr 2014
MKSAP Quiz: increasing asthma symptoms
A 24-year-old woman is evaluated for increasing asthma symptoms. Her symptoms now require her to use her as-needed albuterol inhaler two to three times per week, and she has been waking up at night at least once a week with asthma symptoms that require her inhaler. She is still able to perform most of her daily activities, including regular exercise, if she uses albuterol for prevention. She is allergic to house dust mites, ragweed, grass, trees, and cats. Following a physical exam and spirometry, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/03/25/3.htm
25 Mar 2014
CONFERENCE COVERAGE The American Heart Associationmight want to start ...
the critical care sec-tion in the department of anesthesiology atthe University of Chicago Medicine, duringthe Society of Critical Care Medicine’sAnnual Congress in San Francisco inJanuary. ... coronary care unit. This question can befound in MKSAP 16 in the General InternalMedicine section, item 101.
https://immattersacp.org/archives/2014/04/acpi-201404-puzzle_t2.pdf
25 Mar 2014
Thoracic society releases guidelines on pulmonary hypertension in sickle cell patients
The American Thoracic Society recently released clinical practice guidelines to help clinicians identify and manage patients with sickle cell disease who are at increased risk for death from pulmonary hypertension.
https://immattersacp.org/weekly/archives/2014/03/18/4.htm
18 Mar 2014
Officers and Regents election results announced
The election of Officers and Regents has been completed. Terms become effective at the conclusion of the Annual Business Meeting at Internal Medicine 2014 in Orlando, Fla.
https://immattersacp.org/archives/2014/03/regents.htm
1 Mar 2014
Providing comfort in chaos is another kind of work-life balance
Residents must learn to maintain a delicate balance between their personal lives and professional roles when family or friends ask for medical advice.
https://immattersacp.org/archives/2014/02/residents.htm
1 Feb 2014
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
MKSAP Quiz: 6-month history of increasing daily cough
A 45-year-old man is evaluated for a 6-month history of increasing daily cough, sputum production, and dyspnea on exertion. He has been employed as a coal miner for 10 years. He has never smoked and does not have a history of diabetes mellitus, hypertension, or hyperlipidemia. Pulmonary examination reveals mildly decreased breath sounds bilaterally with no wheezes, crackles, or rhonchi. Cardiac examination and chest radiograph are normal. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/09/17/3.htm
17 Sep 2013
MKSAP Quiz: Abrupt onset of chest pain
A 67-year-old woman is evaluated for the abrupt onset of right-sided pleuritic chest pain and moderate dyspnea seemingly triggered by an episode of vigorous coughing during symptoms typical of an upper respiratory infection. She smokes and has COPD. On physical examination, she appears uncomfortable but is not in respiratory distress. Pulmonary examination is significant for a prolonged expiratory phase but no wheeze; breath sounds are symmetrical bilaterally. In addition to hospital admission, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2013/07/mksap.htm
1 Jul 2013