Search results for "COPD"
Advice from ACP supports short courses of antibiotics for several common infections
Because at least 30% of antibiotic use is considered unnecessary, best practices were issued on treatment of chronic obstructive pulmonary disease exacerbation and uncomplicated bronchitis, community-acquired pneumonia, uncomplicated urinary tract infection, and cellulitis.
https://immattersacp.org/weekly/archives/2021/04/06/1.htm
6 Apr 2021
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: Peripheral 9-mm solid pulmonary nodule
A 72-year-old woman is evaluated during a routine visit. She has a 30-pack-year smoking history and quit 5 years ago. A screening low-dose chest CT scan shows a peripheral 9-mm solid pulmonary nodule in the left upper lobe and emphysema. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/08/25/4.htm
25 Aug 2020
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: 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://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020
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
Effects of pandemic on alcohol use, mental health, primary care, and hospitalizations
Recent studies found that the pandemic was associated with increases in alcohol use and internet searches for mental health issues. The rise of telemedicine meant fewer blood pressure and cholesterol evaluations, and hospitalizations for several non-COVID-19 conditions stayed below normal.
https://immattersacp.org/weekly/archives/2020/10/06/1.htm
6 Oct 2020
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
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
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