Search results for "COPD"
MKSAP Quiz: Gradually worsening dyspnea on exertion
A 32-year-old woman is evaluated for a 2-month history of gradually worsening dyspnea on exertion. She has difficulty climbing one flight of stairs, but has no wheezing or cough. After physical and cardiopulmonary exam, chest radiography, and spirometry, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/01/mksap-quiz-gradually-worsening-dyspnea-on-exertion.htm
1 Jan 2021
Combination therapy for COPD associated with better outcomes
A combination of a long-acting beta-agonist (LABA) and inhaled corticosteroid (ICS) therapy was associated with a lower risk of death or hospitalization among older adults with chronic obstructive pulmonary disease (COPD), particularly those with asthma, compared with LABAs alone, a study found.
https://immattersacp.org/weekly/archives/2014/09/23/1.htm
23 Sep 2014
Detecting depression just as important in the elderly
Raising the issue of mental health is key in the elderly, by asking patients how often they talk to other people, if they're getting help with daily activities, or if they are feeling isolated.
https://immattersacp.org/archives/2022/02/detecting-depression-just-as-important-in-the-elderly.htm
1 Feb 2022
MKSAP Quiz: Follow-up visit for rheumatoid arthritis
A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022
Exercise a fitting path to improved health
Some physicians tout successes in getting patients moving more by suggesting incremental changes in their activity levels, and also by highlighting the more immediately visible payoffs.
https://immattersacp.org/archives/2021/04/exercise-a-fitting-path-to-improved-health.htm
1 Apr 2021
MKSAP Quiz: Follow-up of progressive dyspnea
A 42-year-old man is evaluated in the office for follow-up of progressive dyspnea of 2 years' duration. He first noted dyspnea with exercise but now has symptoms when walking up a flight of stairs. Pulmonary function tests 2 years ago showed moderate airflow obstruction. He has no significant smoking history but a family history of emphysema. After physical examination and a chest radiograph, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/06/04/3.htm
4 Jun 2019
Inhaled bronchodilators may not improve respiratory symptoms in tobacco-smoking patients with preserved lung function
A randomized controlled trial in patients with at least a 10 pack-year smoking history and respiratory symptoms but normal spirometry results found no difference in symptoms over 12 weeks between those who received indacaterol plus glycopyrrolate twice daily or placebo.
https://immattersacp.org/weekly/archives/2022/09/13/1.htm
13 Sep 2022
EpiPen expiration date extended, first generic approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/10/epipen-expiration-date-extended-first-generic-approved.htm
1 Oct 2018
Guideline issued on home oxygen therapy for chronic lung disease
Among other recommendations, patients with chronic lung disease and severe chronic resting hypoxemia should receive long-term oxygen for at least 15 hours per day, the American Thoracic Society said.
https://immattersacp.org/weekly/archives/2020/11/24/4.htm
24 Nov 2020
A defense of proton-pump inhibitors
Data on their risks may seem persuasive, but one expert is not convinced.
https://immattersacp.org/archives/2019/01/a-defense-of-proton-pump-inhibitors.htm
1 Jan 2019