Search results for "Critical care"
Breathing easier from hospital to home
A substantial percentage of patients prescribed home oxygen at hospital discharge after an acute COPD exacerbation no longer meet the criteria two to three months later.
https://immattersacp.org/archives/2020/10/breathing-easier-from-hospital-to-home.htm
1 Oct 2020
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
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
Treating the lingering effects of COVID-19
An expert offered tips on helping patients who catch the novel coronavirus and then can't shake the symptoms.
https://immattersacp.org/archives/2021/01/treating-the-lingering-effects-of-covid-19.htm
1 Jan 2021
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
MKSAP Quiz: Inpatient with fever, dry cough, shortness of breath
A 55-year-old man is evaluated in the hospital for fever, dry cough, and shortness of breath of 3 days' duration. He has advanced squamous cell lung cancer, for which he recently started treatment with pembroluzimab and radiation. Following a physical exam, CT scan, and bronchoscopy, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/04/mksap-quiz-inpatient-with-fever-dry-cough-shortness-of-breath.htm
1 Apr 2023
STIs on the rise
This issue also covers comanagement of Parkinson's disease, transitions from medical school to residency, and cognitive impairment after an ICU stay.
https://immattersacp.org/archives/2020/04/stis-on-the-rise.htm
1 Apr 2020
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
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
Vitamin E acetate linked to vaping-associated lung injury
The total number of reported vaping-associated lung injury cases mounted to 2,172, the CDC found vitamin E acetate in biologic samples for the first time, and authors of an observational study of vaping-related illness emphasized that patients may present with flu-like and abdominal symptoms.
https://immattersacp.org/weekly/archives/2019/11/19/1.htm
19 Nov 2019