Search results for "Pulmonology"
Inhaled bronchodilators may not improve respiratory symptoms in tobacco-smoking patients with preserved lung function
A randomized controlled trial in patients with at least a 10 pack-year smoking history and respiratory symptoms but normal spirometry results found no difference in symptoms over 12 weeks between those who received indacaterol plus glycopyrrolate twice daily or placebo.
https://acpinternist.org/weekly/archives/2022/09/13/1.htm
13 Sep 2022
Help COPD patients with more probing care
Patients with undiagnosed chronic obstructive pulmonary disease (COPD) can sometimes hide in plain sight.
https://acpinternist.org/archives/2022/09/help-copd-patients-with-more-probing-care.htm
1 Sep 2022
MKSAP Quiz: Evaluation 10 days after an ED visit
A 40-year-old man is evaluated 10 days after an ED visit for a cough, chest tightness, wheezing, and shortness of breath. He reports a similar episode requiring an ED visit one year ago. Following a physical exam and cardiopulmonary exam, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2022/03/29/3.htm
29 Mar 2022
Internal medicine: Validating our identity and value
ACP is launching a new campaign to educate about the depth and diversity of internal medicine and highlight the value that all internal medicine physicians bring to health care.
https://acpinternist.org/archives/2022/09/internal-medicine-validating-our-identity-and-value.htm
1 Sep 2022
MKSAP Quiz: 1-week history of chest pressure
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://acpinternist.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020
Learn to see signs of an often fatal disease
Pulmonary arterial hypertension can be recognized and treated. But it remains a diagnosis that is often missed, and the delay can lead to a rapidly progressing and fatal outcome. Learn the signs beyond a patient who reports “being out of breath.”.
https://acpinternist.org/archives/2013/04/pulmonology.htm
1 Apr 2013
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://acpinternist.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
Decision-making rules for diagnosing PE may save lives
Early detection of pulmonary embolism is critical, which puts the primary care internist on the front lines of preventing a patient's continual deterioration that culminates in death. Patients are as likely to present in the office with symptoms as they are at the emergency department.
https://acpinternist.org/archives/2013/03/pulmonology.htm
1 Mar 2013
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://acpinternist.org/archives/2014/03/GERD.htm
1 Mar 2014
MKSAP Quiz: 6-month history of dyspnea on exertion
A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
https://acpinternist.org/weekly/archives/2019/11/19/3.htm
19 Nov 2019