Search results for "Cough"
MKSAP Quiz: 2-week history of difficulty swallowing
A 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant for a 30-pack-year history of smoking. Following a physical exam, lab studies, and chest CT, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/11/mksap-quiz-2-week-history-of-difficulty-swallowing.htm
1 Nov 2019
MKSAP Quiz: 6-day history of lightheadedness, nightly fevers
A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers, as well as sore throat and other symptoms. A blotchy rash on his trunk and arms has recently resolved. He returned home 12 days ago from a trip to Vietnam, for which he did not receive specific immunizations or other prophylaxis. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/29/3.htm
29 Oct 2019
Metoprolol not effective for reducing time to COPD exacerbation
A randomized placebo-controlled trial, which was stopped early due to safety and futility concerns, found no significant between-group difference in median time to first exacerbation of chronic obstructive pulmonary disease (COPD).
https://immattersacp.org/weekly/archives/2019/10/29/4.htm
29 Oct 2019
CDC issues interim guidance on evaluation, treatment of suspected vaping injuries
The evaluation of patients with suspected e-cigarette, or vaping, product use-associated lung injury (EVALI) should include pulse oximetry, chest X-ray, and, in some cases, chest CT, the CDC advised.
https://immattersacp.org/weekly/archives/2019/10/22/2.htm
22 Oct 2019
CDC asks physicians to report cases of vaping-related respiratory illness
Three hundred eighty possible cases of pulmonary disease related to e-cigarette use in 36 states and one U.S. territory had been reported as of Sept. 12, and six patients have died.
https://immattersacp.org/weekly/archives/2019/09/17/1.htm
17 Sep 2019
MKSAP Quiz: Posthospital evaluation for severe COPD
A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 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
FDA analyzing mortality risk with paclitaxel-coated balloons
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/05/fda-analyzing-mortality-risk-with-paclitaxel-coated-balloons.htm
1 May 2019
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
Delayed antibiotics in older adults with UTI associated with bloodstream infections, death
An editorial noted that the relationships found in the study may not be causal and advised clinicians to offer prompt treatment to patients at the highest risk of bloodstream infections: older patients, men, and those living in areas of greater socioeconomic deprivation.
https://immattersacp.org/weekly/archives/2019/03/05/4.htm
5 Mar 2019