Search results for "Cough"
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
MKSAP Quiz: 6-month history of increasing daily cough
A 45-year-old man is evaluated for a 6-month history of increasing daily cough, sputum production, and dyspnea on exertion. He has been employed as a coal miner for 10 years. He has never smoked and does not have a history of diabetes mellitus, hypertension, or hyperlipidemia. Pulmonary examination reveals mildly decreased breath sounds bilaterally with no wheezes, crackles, or rhonchi. Cardiac examination and chest radiograph are normal. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/09/17/3.htm
17 Sep 2013
ACP resources available to help boost adult immunizations
With flu season approaching, now is the time for physicians to recommend flu shots to their patients and assess their vaccine needs.
https://immattersacp.org/weekly/archives/2013/10/08/6.htm
8 Oct 2013
Score may determine when patients should seek treatment for strep throat
A score to diagnose group A streptococcal (GAS) pharyngitis that can be calculated by patients at home could save hundreds of thousands of visits annually by identifying the need for testing or treatment, a study found.
https://immattersacp.org/weekly/archives/2013/11/05/2.htm
5 Nov 2013
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
MKSAP Quiz: 2-week history of nonproductive cough and fever
A 35-year-old man is evaluated for a 2-week history of nonproductive cough and fever. He has a 20-year history of asthma. Three weeks ago, he visited friends in Indiana. He has no dyspnea, hemoptysis, or worsening of his baseline asthma symptoms. His only medication is an albuterol inhaler as needed. Following a physical exam, lab results and a chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/03/04/3.htm
4 Mar 2014
Withholding, delaying antibiotics for simple respiratory infections had similar outcomes as immediate prescriptions
Not prescribing antibiotics or delaying prescriptions for uncomplicated acute sore throats and other respiratory infections resulted in fewer than 40% of patients using antibiotics and similar symptomatic outcomes versus offering immediate prescriptions, a study found.
https://immattersacp.org/weekly/archives/2014/03/18/1.htm
18 Mar 2014
Cardiac risks of testosterone, saxagliptin under investigation
This regulatory update covers an FDA review of the risk of stroke, heart attack and death in men taking testosterone products, as well as a possible increase in heart failure associated with saxagliptin.
https://immattersacp.org/archives/2014/04/fda.htm
1 Apr 2014
MKSAP Quiz: pleuritic left-sided anterior chest pain
A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when leaning forward. He has had a low-grade fever for 3 days, without cough or chills. Medical history is significant for acute pericarditis 7 months ago. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/04/22/3.htm
22 Apr 2014