Search results for "Pulmonary embolism"
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
Adding aspirin or NSAID to anticoagulant doubles bleeding risk
Taking aspirin or an NSAID while on anticoagulant therapy significantly increases the risk of bleeding in patients who have had a venous thromboembolism (VTE), a recent study found.
https://immattersacp.org/weekly/archives/2014/04/22/5.htm
22 Apr 2014
Warfarin given to elderly patients within a year of traumatic brain injury associated with net benefit
Resuming warfarin in the year after a traumatic brain injury was associated with a net benefit, due to a reduction in ischemic stroke risk, for elderly patients in a recent study.
https://immattersacp.org/weekly/archives/2014/06/17/5.htm
17 Jun 2014
Systematic review compares new and old anticoagulation options for acute VTE
The benefits and risks of 8 different anticoagulation strategies for patients with venous thromboembolism (VTE), including heparin and new oral anticoagulants, were compared in a large new analysis.
https://immattersacp.org/weekly/archives/2014/09/23/7.htm
23 Sep 2014
NSAID use may be associated with increased VTE risk
There may be a statistically significant increased risk of venous thromboembolism (VTE) among users of nonsteroidal anti-inflammatory drugs (NSAIDs), a meta-analysis found.
https://immattersacp.org/weekly/archives/2014/09/30/4.htm
30 Sep 2014
MKSAP Quiz: dyspnea in a patient with end-stage COPD
A 72-year-old man is evaluated for dyspnea at rest. He has end-stage COPD and is on a home hospice program. He has weight loss, reduced functional capacity, and muscle atrophy. His medications are ipratropium, salmeterol, fluticasone, albuterol as needed, and prednisone. He is uncomfortable, with chronic air hunger that has gradually increased over the past 2 weeks. Otherwise, his symptoms have been stable without change in cough, sputum production, or fever.
https://immattersacp.org/weekly/archives/2015/02/03/3.htm
3 Feb 2015
Approvals for an oral anticoagulant, generic esomeprazole
This update covers the approval of an oral medication to reduce the risk of stroke and embolism in atrial fibrillation and the first generic version of esomeprazole.
https://immattersacp.org/archives/2015/04/fda.htm
1 Apr 2015
Top 10 afib pearls manage cardiology's ‘bread and butter’
Atrial fibrillation has been called “the bread and butter” of cardiology, and a condition that impacts all aspects of internal medicine practice.
https://immattersacp.org/archives/2015/06/afib.htm
1 Jun 2015
Arthroscopic surgery may not benefit patients with degenerative knee disease
Arthroscopic surgery for degenerative knee disease yields “small inconsequential benefit” in middle-aged and older adults and is associated with harms, the authors noted.
https://immattersacp.org/weekly/archives/2015/06/23/1.htm
23 Jun 2015
Extended anticoagulant treatment prevents recurrent VTE after first unprovoked PE
An additional 18 months of warfarin treatment in patients with first unprovoked PE improves outcomes versus placebo, although the improvement was not sustained after anticoagulant treatment was discontinued.
https://immattersacp.org/weekly/archives/2015/07/14/2.htm
14 Jul 2015