Search results for "Pulmonology"
MKSAP Quiz: Follow-up for severe COPD
A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. Following a physical exam and other tests, what is most likely to benefit this patient?
https://immattersacp.org/weekly/archives/2018/08/14/3.htm
14 Aug 2018
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
MKSAP Quiz: Routine follow-up for very severe COPD
A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/11/07/3.htm
7 Nov 2017
Assess for noncardiac complications in congenital heart disease survivors, AHA says
Physicians who care for adult patients with congenital heart disease should be mindful of the effects that the condition has on other organs, according to a scientific statement from the American Heart Association.
https://immattersacp.org/weekly/archives/2017/10/17/1.htm
17 Oct 2017
New questionnaire appears to successfully identify COPD in primary care settings
A survey, combined with selective peak expiratory flow, was the best method for predicting undiagnosed, clinically significant chronic obstructive pulmonary disease, a recent case-control study found.
https://immattersacp.org/weekly/archives/2016/11/08/5.htm
8 Nov 2016
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
Guideline updates treatments for idiopathic pulmonary fibrosis
The guideline included a strong recommendation against the use of warfarin, among other medications.
https://immattersacp.org/weekly/archives/2015/07/21/2.htm
21 Jul 2015
MKSAP Quiz: severe COPD with multiple exacerbations
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. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/06/09/3.htm
9 Jun 2015
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
Emphysema on CT may be an important independent risk factor for death
Emphysema found on computed tomography (CT) was associated with an increased risk for mortality among people without airflow obstruction or chronic obstructive pulmonary disease (COPD), a study found.
https://immattersacp.org/weekly/archives/2014/12/16/4.htm
16 Dec 2014