Search results for "Cough"
MKSAP Quiz: dyspnea in a patient with end-stage COPD
A 72-year-old man is evaluated for dyspnea at rest. He has end-stage COPD and is on a home hospice program. He has weight loss, reduced functional capacity, and muscle atrophy. His medications are ipratropium, salmeterol, fluticasone, albuterol as needed, and prednisone. He is uncomfortable, with chronic air hunger that has gradually increased over the past 2 weeks. Otherwise, his symptoms have been stable without change in cough, sputum production, or fever.
https://immattersacp.org/weekly/archives/2015/02/03/3.htm
3 Feb 2015
Helping shield clinicians and the community from contagion
Face shields on top of masks may be another avenue in fighting the global COVID-19 pandemic.
https://immattersacp.org/archives/2020/07/helping-shield-clinicians-and-the-community-from-contagion.htm
1 Jul 2020
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
MKSAP Quiz: 6-month history of exertional dyspnea
A 49-year-old woman is evaluated for a 6- month history of exertional dyspnea and nonproductive cough that had an insidious onset. She has not noticed any particular triggers for her cough. She has no history of asthma, airway disease, reflux, or aspiration. She has never smoked. She has had no chemical or industrial exposures, has not been in contact with birds, has not been in a hot tub recently, and has not had recent travel. She has no family history of atopy or asthma, and she takes no medications. Lung volumes and spirometry are normal; DLCO is mildly reduced at 75% of predicted. Based on physical exam and chest radiographs, what is the most likely diagnosis?.
https://immattersacp.org/archives/2014/07/mksap.htm
1 Jul 2014
Infusion sets, heparin recalled
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/10/infusion-sets-heparin-recalled.htm
1 Oct 2020
MKSAP Quiz: management of COPD
A 72-year-old woman is evaluated during a routine examination. She has very severe COPD with multiple exacerbations. She has dyspnea at all times with decreased exercise capacity. She does not have cough or any change in baseline sputum production. She is adherent to her medication regimen, and she completed pulmonary rehabilitation 1 year ago. She quit smoking 1 year ago. Her medications are a budesonide/formoterol inhaler, tiotropium, and an albuterol inhaler as needed. Following a physical and pulmonary exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/10/21/3.htm
21 Oct 2014
Task Force recommends against screening for COPD
The recommendation applies to asymptomatic adults, defined as those who do not recognize or report respiratory symptoms.
https://immattersacp.org/weekly/archives/2016/04/12/4.htm
12 Apr 2016
DynaMed Plus Quiz: Shortness of breath
A 40-year-old trophy-winning professional knitter reports increasing shortness of breath and dry cough for the past week, as well as hoarseness and throat pain for the past three days. Upon questioning, she reports feeling “feverish” and being unusually tired of late. Following a review of systems, physical exam, and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/11/dynamed-plus-quiz-shortness-of-breath.htm
1 Nov 2017
Catheters, infusion pumps recalled
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2021/02/catheters-infusion-pumps-recalled.htm
1 Feb 2021
Which decongestant when?
This month's expert discusses decongestant use and some of the myths and misperceptions around what is commonly available.
https://immattersacp.org/archives/2023/06/which-decongestant-when.htm
1 Jun 2023