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CDC and FDA weigh in on safety of bivalent vaccine; research examines COVID-19 sequelae, omicron variants

The CDC and FDA said an observed association of ischemic stroke with the Pfizer-BioNTech bivalent booster is very unlikely to represent a true clinical risk. New studies reported on symptoms a year after mild COVID-19 and estimated protection against the omicron variants.
https://immattersacp.org/weekly/archives/2023/01/24/2.htm
24 Jan 2023

MKSAP Quiz: Hospitalization for dyspnea, night sweats, productive cough

A 72-year-old man is hospitalized for dyspnea, night sweats, and productive cough; symptoms began 8 months ago. He also reports a 9.1-kg (20 lb) weight loss over the past 12 months. Medical history is notable for COPD. Following a physical exam, lab tests, and a chest radiograph, what is the most likely causative organism?
https://immattersacp.org/archives/2023/01/mksap-quiz-hospitalization-for-dyspnea-night-sweats-productive-cough.htm
1 Jan 2023

MKSAP Quiz: Follow-up visit for asthma

A 54-year-old man with a 5-year history of persistent asthma is evaluated during a follow-up visit. He has had one exacerbation within the last year, which was treated with glucocorticoids. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/11/01/3.htm
1 Nov 2022

New category of OTC hearing aids; FMT and monkeypox

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2022/10/new-category-of-otc-hearing-aids-fmt-and-monkeypox.htm
1 Oct 2022

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

Help COPD patients with more probing care

Patients with undiagnosed chronic obstructive pulmonary disease (COPD) can sometimes hide in plain sight.
https://immattersacp.org/archives/2022/09/help-copd-patients-with-more-probing-care.htm
1 Sep 2022

MKSAP Quiz: 2-day history of shortness of breath

A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022

Post-COVID-19 clinic director offers tips on lingering symptoms

The first step to treating patients with postacute sequelae of SARS-CoV-2 (PASC) is simple, one expert said: Believe them.
https://immattersacp.org/archives/2022/06/post-covid-19-clinic-director-offers-tips-on-lingering-symptoms.htm
1 Jun 2022

MKSAP Quiz: 6-week history of shortness of breath

A 22-year-old man is evaluated for a 6-week history of shortness of breath and cough. He is otherwise healthy and takes no medications. Following a physical exam and chest CT, what is the most appropriate management?
https://immattersacp.org/archives/2022/04/mksap-quiz-6-week-history-of-shortness-of-breath.htm
1 Apr 2022

MKSAP Quiz: Evaluation 10 days after an ED visit

A 40-year-old man is evaluated 10 days after an ED visit for a cough, chest tightness, wheezing, and shortness of breath. He reports a similar episode requiring an ED visit one year ago. Following a physical exam and cardiopulmonary exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/03/29/3.htm
29 Mar 2022

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