Search results for "Asthma"
MKSAP Quiz: 3-week history of painful muscle spasms and twisting movements
A 24-year-old woman is evaluated for a 3-week history of painful muscle spasms and twisting movements in the neck and trunk. She says that her neck feels as if it is being pulled backward. She also reports general restlessness and an inability to keep still. Her medical history is notable for asthma, type 1 diabetes mellitus, and gastroparesis with reflux. The patient has no family history of neuropsychiatric disorders or liver disease. Medications are albuterol, insulin, omeprazole, and metoclopramide. Following findings from a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/03/18/3.htm
18 Mar 2014
MKSAP Quiz: increasing asthma symptoms
A 24-year-old woman is evaluated for increasing asthma symptoms. Her symptoms now require her to use her as-needed albuterol inhaler two to three times per week, and she has been waking up at night at least once a week with asthma symptoms that require her inhaler. She is still able to perform most of her daily activities, including regular exercise, if she uses albuterol for prevention. She is allergic to house dust mites, ragweed, grass, trees, and cats. Following a physical exam and spirometry, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/03/25/3.htm
25 Mar 2014
Review of anti-flu drugs find little benefit, side effects, flaws in approval processes
Two Cochrane systematic reviews on flu relief drugs, which for the first time considered clinical study reports in addition to published studies, concluded that the medicines didn't have much impact on the course of symptoms.
https://immattersacp.org/weekly/archives/2014/04/22/1.htm
22 Apr 2014
MKSAP Quiz: ED evaluation for a painful body rash
A 64-year-old man is evaluated in the ED for a rash that first developed 3 days ago and has rapidly spread to cover most of his body. He has a history of mild psoriasis, well controlled with topical corticosteroids, and asthma. One week ago, he completed a 10-day course of oral corticosteroids for an acute exacerbation of asthma. On physical examination, more than 90% of his body surface area is erythematous. There are widespread coalescing erythematous patches and plaques, many with pinpoint pustules coalescing into lakes of pus. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/04/29/3.htm
29 Apr 2014
MKSAP Quiz: 6-month history of nonproductive cough
A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. Following a history, physical exam and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2014/05/20/3.htm
20 May 2014
Comorbid conditions associated with increased herpes zoster risk in younger patients
A range of conditions were associated with an increased risk of herpes zoster, especially immunosuppressive conditions, and the increased risk was greater in younger age groups, a study found.
https://immattersacp.org/weekly/archives/2014/05/20/5.htm
20 May 2014
Emphasize exercise for CAD testing, disease prevention
Exercise capacity is the single most power predictor of cardiovascular events, whether or not symptoms are present.
https://immattersacp.org/archives/2014/06/CAD.htm
1 Jun 2014
For effective smoking cessation, turn ambivalence into action
Smokers sometimes want to want to quit. The ambivalence is the effect of nicotine, which rewires the brain. Instead of being wary of the patient's mixed feelings, use them as a sign to try nicotine replacement therapy systems that make the cravings more manageable.
https://immattersacp.org/archives/2014/06/smoking.htm
1 Jun 2014
Get rid of GERD without unneeded costs, tests
Gastroesophageal reflux disease can be diagnosed in the office, without the need for expensive tests such as endoscopy. Learn how to make the right diagnosis while avoiding confounding symptoms that might steer a patient toward the wrong specialist.
https://immattersacp.org/archives/2014/06/GERD.htm
1 Jun 2014
MKSAP Quiz: 1-year history of cough
A 38-year-old man is evaluated for a 1-year history of cough with mucoid sputum and a 6-month history of mildly progressive dyspnea. He has a 12-pack-year history of smoking. He has no history of asthma, allergies, skin disease, or liver disease. Following physical and pulmonary exams and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/06/10/3.htm
10 Jun 2014