Search results for "COPD"
MKSAP Quiz: declining exercise capacity over the past year
A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/06/28/3.htm
28 Jun 2016
Task Force recommends against screening for COPD
The recommendation applies to asymptomatic adults, defined as those who do not recognize or report respiratory symptoms.
https://immattersacp.org/weekly/archives/2016/04/12/4.htm
12 Apr 2016
MKSAP Quiz: 3-year history of dyspnea on exertion
A 68-year-old man is evaluated for a 3-year history of dyspnea on exertion. He experiences no headaches or blurred vision. Medical history is notable for a stroke 2 years ago. He is a smoker with an 80-pack-year smoking history. Medications are hydrochlorothiazide, lisinopril, aspirin, and simvastatin. Following a physical exam, lab studies, and advice to stop smoking, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/12/08/3.htm
8 Dec 2015
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
Guideline offers recommendations to prevent acute COPD exacerbations
An evidence-based guideline from the American College of Chest Physicians and Canadian Thoracic Society offers recommendations on preventing exacerbations in patients with chronic obstructive pulmonary disease (COPD).
https://immattersacp.org/weekly/archives/2015/04/14/2.htm
14 Apr 2015
Practice Tips PRACTICE MANAGEMENT Because of the increased granularity ...
That specificity will be criti-cal for efficient claims processing, and learn-ing what is needed may require some time andpractice.
https://immattersacp.org/archives/2015/04/acpi-201504-coding_t1.pdf
23 Mar 2015
Does ACA coverage really make a difference?
Patients with health insurance have better outcomes and enjoy better quality of life. The Affordable Care Act is offering more people access, even though cost-sharing may still put better care out of reach.
https://immattersacp.org/archives/2015/03/washington.htm
1 Mar 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
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: 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