Search results for "Critical care"
MKSAP Quiz: Posthospital evaluation for severe COPD
A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 2019
MKSAP Quiz: Follow-up of progressive dyspnea
A 42-year-old man is evaluated in the office for follow-up of progressive dyspnea of 2 years' duration. He first noted dyspnea with exercise but now has symptoms when walking up a flight of stairs. Pulmonary function tests 2 years ago showed moderate airflow obstruction. He has no significant smoking history but a family history of emphysema. After physical examination and a chest radiograph, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/06/04/3.htm
4 Jun 2019
Decision aids integral to shared decision making
When used properly and in the correct situation, decision aids save time and costs by better meeting patient needs and increasing adherence.
https://immattersacp.org/archives/2019/05/decision-aids-integral-to-shared-decision-making.htm
1 May 2019
MKSAP Quiz: 3-year history of dyspnea, cough
A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019
Internal Medicine Meeting 2019 comes home to Philly
This year's Internal Medicine Meeting, held in Philadelphia for the first time since 2009, marks ACP's 100th annual educational gathering.
https://immattersacp.org/archives/2019/03/internal-medicine-meeting-2019-comes-home-to-philly.htm
1 Mar 2019
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
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
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
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
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