Search results for "COPD"
MKSAP Quiz: 1-year history of increasing dyspnea
A 72-year-old man is evaluated for a 2-year history of cough and a 1-year history of increasing dyspnea. He describes the cough as nonproductive, and his shortness of breath is worse with exertion. He does not have chest pain, orthopnea, paroxysmal nocturnal dyspnea, or any other symptoms. He has a 15-pack-year smoking history but quit 40 years ago. He worked as a construction worker for 40 years. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/05/02/3.htm
2 May 2017
Target preop visits for efficiency, best outcomes
Internists can guide preoperative anticoagulation, ensure that patients are in optimal condition for procedures, and##mdash;perhaps most importantly##mdash;judiciously choose which tests to perform and which ones aren't needed.
https://immattersacp.org/archives/2014/09/preop.htm
1 Sep 2014
Sleep disorders may be overlooked on exams
Experts want sleep habits considered as a vital sign. Sleep problems are important in themselves and can also have consequences on other major comorbidities such as mood disorders, diabetes and hypertension.
https://immattersacp.org/archives/2012/02/sleep.htm
1 Feb 2012
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
College's new end-of-life guidelines fill gaps in patient care
The College's new guidelines recommend that clinicians regularly assess end-of-life patients for symptoms of pain, dyspnea and depression, and use proven therapies to treat these conditions.
https://immattersacp.org/archives/2008/03/fourteen.htm
1 Mar 2008
Internists taking primary care to the streets
Practicing medicine changes when homeless patients don't have a phone, food or access to first aid. Free health care programs have been converting buses and vans into clinics on wheels as they discover that mobile care is an effective way to reach homeless patients.
https://immattersacp.org/archives/2008/03/two.htm
1 Mar 2008
MKSAP quiz: 5-day history of nodules
A 29-year-old woman is evaluated for a 5-day history of nodules over her lower extremities. She reports that she regularly visits a local spa that uses whirlpool footbaths during her pedicure procedures; she always shaves her legs with a razor before these visits. Medical history is unremarkable, and she takes no medications. Following a physical exam, punch biopsy of a lesion, and tissue cultures, what is the most likely cause of infection?
https://immattersacp.org/weekly/archives/2017/04/11/3.htm
11 Apr 2017
For effective smoking cessation, turn ambivalence into action
Smokers sometimes want to want to quit. The ambivalence is the effect of nicotine, which rewires the brain. Instead of being wary of the patient's mixed feelings, use them as a sign to try nicotine replacement therapy systems that make the cravings more manageable.
https://immattersacp.org/archives/2014/06/smoking.htm
1 Jun 2014
Long-acting beta-agonists and anticholinergics pose similar cardiovascular risks
Patients with chronic obstructive pulmonary disease (COPD) faced increased risk of a cardiovascular event after starting treatment with a long-acting bronchodilator, whether it was a beta-agonist or an anticholinergic, a new study found.
https://immattersacp.org/weekly/archives/2013/06/04/4.htm
4 Jun 2013
Fred Ralston Jr., MACP, blogs at KevinMD.com
Fred Ralston Jr., MACP, ACP's immediate past president and a practicing internist in Fayetteville, Tenn., blogs about a new joint clinical practice guideline for stable COPD at KevinMD.com.
https://immattersacp.org/weekly/archives/2011/08/09/7.htm
9 Aug 2011