Search results for "Pulmonology"
MKSAP Quiz: management of COPD
A 72-year-old woman is evaluated during a routine examination. She has very severe COPD with multiple exacerbations. She has dyspnea at all times with decreased exercise capacity. She does not have cough or any change in baseline sputum production. She is adherent to her medication regimen, and she completed pulmonary rehabilitation 1 year ago. She quit smoking 1 year ago. Her medications are a budesonide/formoterol inhaler, tiotropium, and an albuterol inhaler as needed. Following a physical and pulmonary exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/10/21/3.htm
21 Oct 2014
MKSAP Quiz: 6-week history of dyspnea, cough
A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. Based upon the findings of a physical exam and chest radiograph, what is the most likely diagnosis?.
https://immattersacp.org/archives/2012/01/mksap.htm
1 Jan 2012
Telehealth expands reach of palliative care in rural areas
Some rural hospitals and palliative care programs are using telehealth to reach distant patients in an environment of clinician scarcity or budget constraints.
https://immattersacp.org/archives/2020/02/telehealth-expands-reach-of-palliative-care-in-rural-areas.htm
1 Feb 2020
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
Changes to contraindication for statins in pregnancy
This column reviews details on recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2021/09/changes-to-contraindication-for-statins-in-pregnancy.htm
1 Sep 2021
MKSAP Quiz: severe COPD with multiple exacerbations
A 72-year-old woman is evaluated during a routine examination. She has very severe COPD with multiple exacerbations. She has dyspnea at all times with decreased exercise capacity. She does not have cough or any change in baseline sputum production. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/06/09/3.htm
9 Jun 2015
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
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://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
Thoracic society releases guidelines on pulmonary hypertension in sickle cell patients
The American Thoracic Society recently released clinical practice guidelines to help clinicians identify and manage patients with sickle cell disease who are at increased risk for death from pulmonary hypertension.
https://immattersacp.org/weekly/archives/2014/03/18/4.htm
18 Mar 2014
Classified Advertising 22 ACPINTERNIST If contributing to a team ...
Answer and critiqueThe correct answer is C: Serial chest. radiography. This question can be found inMKSAP 16 in the Pulmonology and CriticalCare section, item 8.
https://immattersacp.org/archives/2013/07/acpi-201307-puzzle_t2.pdf
24 Jun 2013