Search results for "COPD"
MKSAP Quiz: Follow-up for severe COPD
A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. Following a physical exam and other tests, what is most likely to benefit this patient?
https://immattersacp.org/weekly/archives/2018/08/14/3.htm
14 Aug 2018
Catch up on new COPD guidelines
Updated guidelines for chronic obstructive pulmonary disease revised the definition and staging of the condition, and an expert offers tips for optimal care.
https://immattersacp.org/archives/2018/06/catch-up-on-new-copd-guidelines.htm
1 Jun 2018
LABAs, LAMAs for COPD may be associated with increased CVD risk in first 30 days of use
Study authors caution physicians to closely monitor new users of long-acting beta2-agonists (LABAs) or long-acting antimuscarinic antagonists (LAMAs) for cardiovascular symptoms.
https://immattersacp.org/weekly/archives/2018/01/09/4.htm
9 Jan 2018
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: 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
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
MKSAP Quiz: 6-month history of worsening exertional dyspnea
A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/01/10/3.htm
10 Jan 2017
Corticosteroids have fallen out of favor for COPD care
A single study has gone a long way toward changing clinical practices.
https://immattersacp.org/archives/2017/01/COPD-care.htm
1 Jan 2017
New questionnaire appears to successfully identify COPD in primary care settings
A survey, combined with selective peak expiratory flow, was the best method for predicting undiagnosed, clinically significant chronic obstructive pulmonary disease, a recent case-control study found.
https://immattersacp.org/weekly/archives/2016/11/08/5.htm
8 Nov 2016
Combination treatment for COPD associated with lower rate of exacerbations versus usual care
Patients taking fluticasone furoate-vilanterol had a rate of 1.74 moderate or severe exacerbations per year versus 1.90 per year in the usual care group, an industry-funded trial has shown.
https://immattersacp.org/weekly/archives/2016/09/13/1.htm
13 Sep 2016