Search results for "COPD"
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
Recalls for arrhythmia drug, infusion pumps, defibrillators
A summary of approvals, recalls, warnings and alerts from the Food and Drug Administration.
https://immattersacp.org/archives/2009/05/fda.htm
1 May 2009
MKSAP Quiz: 3-year history of dyspnea, cough
A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019
Drive-in visits can fill the cracks of telemedicine's reach
Practices in rural areas are tackling the logistics of providing telemedicine to patients who are unable to access it on their own.
https://immattersacp.org/archives/2020/07/drive-in-visits-can-fill-the-cracks-of-telemedicines-reach.htm
1 Jul 2020
E-cigarette use associated with increased risk for respiratory conditions
Former use and current use of e-cigarettes were associated with an increased risk for major respiratory conditions, such as chronic obstructive pulmonary disease and emphysema, compared with no prior use, a recent study found.
https://immattersacp.org/weekly/archives/2020/11/17/5.htm
17 Nov 2020
MKSAP Quiz: Abrupt onset of chest pain
A 67-year-old woman is evaluated for the abrupt onset of right-sided pleuritic chest pain and moderate dyspnea seemingly triggered by an episode of vigorous coughing during symptoms typical of an upper respiratory infection. She smokes and has COPD. On physical examination, she appears uncomfortable but is not in respiratory distress. Pulmonary examination is significant for a prolonged expiratory phase but no wheeze; breath sounds are symmetrical bilaterally. In addition to hospital admission, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2013/07/mksap.htm
1 Jul 2013
Race-based spirometry equations may miss emphysema in Black patients
An observational study of Black and White patients who had both spirometry and a CT scan found that emphysema is often present before spirometry results become abnormal, especially in Black men, and that using spirometry alone may overestimate respiratory health.
https://immattersacp.org/weekly/archives/2022/07/19/1.htm
19 Jul 2022
Evidence evolving on aspirin as prevention
Practice-changing points may influence how internists prescribe aspirin for the primary prevention of heart disease.
https://immattersacp.org/archives/2019/03/evidence-evolving-on-aspirin-as-prevention.htm
1 Mar 2019
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
MKSAP Quiz: Recent onset of fatigue and muscle weakness
A 52-year-old man is evaluated for recent onset of fatigue and muscle weakness. The patient further reports nocturia and polyuria over the past 4 weeks and a 6-kg (13.2-lb) weight loss over the past 2 months. He has COPD and a 55-pack-year smoking history. His only medication is an albuterol inhaler. Temporal muscle wasting and proximal muscle wasting and weakness are noted in the upper and lower extremities on physical exam. Hyperpigmented mucous membranes are noted. Following laboratory studies and examination of the toenail beds, what is the most likely cause of this patient's findings?.
https://immattersacp.org/archives/2014/02/mksap.htm
1 Feb 2014