Search results for "Cough"
Guideline updated to include new drugs for stage C heart failure with reduced ejection fraction
Among other recommendations, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, or an angiotensin receptor-neprilysin inhibitor, along with a beta-blocker and an aldosterone antagonist, is the new recommended therapy to reduce morbidity and mortality in patients with chronic symptomatic heart failure with reduced ejection fraction.
https://immattersacp.org/weekly/archives/2016/05/24/2.htm
24 May 2016
MKSAP Quiz: evaluation for exposure to tuberculosis
A 28-year-old man is evaluated after being informed his roommate at a homeless shelter was diagnosed with pulmonary tuberculosis. He reports no fever, cough, night sweats, or weight loss. Medical history is significant for injection drug use, most recently 2 weeks ago, although he reports no known infectious complications in the past. Following physical exams and other tests, what is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2016/06/07/3.htm
7 Jun 2016
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
Unwind the ‘story’ to diagnose asthma, allergies
Every asthma or allergy patient has a story, and the details that the patients relate tell the internist how best to manage and treat several conditions that are interrelated and frequently comorbid.
https://immattersacp.org/archives/2016/07/allergies.htm
1 Jul 2016
AHA evaluates heart failure risks from prescription drugs, OTCs, alternative products
The scientific statement identifies prescription medications that may exacerbate underlying myocardial dysfunction, prescription drugs known to cause direct myocardial toxicity, and the sodium level of some over-the-counter medications, among other concerns.
https://immattersacp.org/weekly/archives/2016/07/19/5.htm
19 Jul 2016
New warnings for opioids; approval for arthritis drug
This column reviews a warning on opioid pain drugs and cough medicines combined with benzodiazepines and approval of a new drug to treat multiple inflammatory diseases.
https://immattersacp.org/archives/2016/11/fda.htm
1 Nov 2016
MKSAP Quiz: evaluation for chest discomfort and cough
A 45-year-old man is evaluated for right-sided chest discomfort and cough of 2 weeks' duration. His chest discomfort is described as a vague, painful sensation on the right. The cough occasionally produces a small amount of sputum; he reports no hemoptysis or shortness of breath. He has felt feverish with mild fatigue but has had no weight loss. He is a smoker with a 20-pack-year history. Following a physical exam and chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/12/13/3.htm
13 Dec 2016
After splenectomy, clots join infection as potential risks
Fewer splenectomies are being done, but thromboembolic disease afterward is now more recognized and therefore being diagnosed more frequently.
https://immattersacp.org/archives/2017/04/splenectomy.htm
1 Apr 2017
Managing superbugs in your community
General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017
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