Search results for "Pulmonology"
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
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
Emphysema on CT may be an important independent risk factor for death
Emphysema found on computed tomography (CT) was associated with an increased risk for mortality among people without airflow obstruction or chronic obstructive pulmonary disease (COPD), a study found.
https://immattersacp.org/weekly/archives/2014/12/16/4.htm
16 Dec 2014
MKSAP Quiz: dyspnea, chest tightness in an adolescent athlete
Scoring system predicts risk for hospital readmission
https://immattersacp.org/weekly/archives/2010/03/23/4.htm
23 Mar 2010
Early hospital-initiated rehab for chronic respiratory disease shows no benefit versus usual care
Patients hospitalized for chronic respiratory disease did not appear to benefit from early rehab started during their hospital stay versus usual care, according to a new study.
https://immattersacp.org/weekly/archives/2014/07/15/6.htm
15 Jul 2014
Combining smoking cessation therapies improves abstinence rates
Varenicline in combination with nicotine replacement therapy was more effective than varenicline alone in helping smokers quit, a study found.
https://immattersacp.org/weekly/archives/2014/07/15/2.htm
15 Jul 2014
Macrolide antibiotics reduce exacerbations but increase antimicrobial resistance in non-cystic fibrosis bronchiectasis
The macrolide antibiotics erythromycin and azithromycin each appear to reduce exacerbations in patients with non-cystic fibrosis bronchiectasis but may also lead to increased antimicrobial resistance, according to two new studies in the March 27 Journal of the American Medical Association.
https://immattersacp.org/weekly/archives/2013/04/02/4.htm
2 Apr 2013
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
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: worsening heart failure
A 78-year-old man was admitted to the hospital 5 days ago for worsening heart failure. There were bibasilar crackles and dullness to percussion at both posterior lung bases. Jugular venous distention, an S3, and lower extremity edema were present. Chest radiograph revealed cardiomegaly, vascular congestion, and moderate-sized bilateral pleural effusions. What is the most likely cause of this patient's pleural effusion?
https://immattersacp.org/weekly/archives/2013/06/25/3.htm
25 Jun 2013