Search results for "Pulmonology"
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
MKSAP Quiz: 6-month history of increasing daily cough
A 45-year-old man is evaluated for a 6-month history of increasing daily cough, sputum production, and dyspnea on exertion. He has been employed as a coal miner for 10 years. He has never smoked and does not have a history of diabetes mellitus, hypertension, or hyperlipidemia. Pulmonary examination reveals mildly decreased breath sounds bilaterally with no wheezes, crackles, or rhonchi. Cardiac examination and chest radiograph are normal. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/09/17/3.htm
17 Sep 2013
MKSAP Quiz: Abrupt onset of chest pain
A 67-year-old woman is evaluated for the abrupt onset of right-sided pleuritic chest pain and moderate dyspnea seemingly triggered by an episode of vigorous coughing during symptoms typical of an upper respiratory infection. She smokes and has COPD. On physical examination, she appears uncomfortable but is not in respiratory distress. Pulmonary examination is significant for a prolonged expiratory phase but no wheeze; breath sounds are symmetrical bilaterally. In addition to hospital admission, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2013/07/mksap.htm
1 Jul 2013
MKSAP Quiz: worsening heart failure
A 78-year-old man was admitted to the hospital 5 days ago for worsening heart failure. There were bibasilar crackles and dullness to percussion at both posterior lung bases. Jugular venous distention, an S3, and lower extremity edema were present. Chest radiograph revealed cardiomegaly, vascular congestion, and moderate-sized bilateral pleural effusions. What is the most likely cause of this patient's pleural effusion?
https://immattersacp.org/weekly/archives/2013/06/25/3.htm
25 Jun 2013
Classified Advertising 22 ACPINTERNIST If contributing to a team ...
Answer and critiqueThe correct answer is C: Serial chest. radiography. This question can be found inMKSAP 16 in the Pulmonology and CriticalCare section, item 8.
https://immattersacp.org/archives/2013/07/acpi-201307-puzzle_t2.pdf
24 Jun 2013
Macrolide antibiotics reduce exacerbations but increase antimicrobial resistance in non-cystic fibrosis bronchiectasis
The macrolide antibiotics erythromycin and azithromycin each appear to reduce exacerbations in patients with non-cystic fibrosis bronchiectasis but may also lead to increased antimicrobial resistance, according to two new studies in the March 27 Journal of the American Medical Association.
https://immattersacp.org/weekly/archives/2013/04/02/4.htm
2 Apr 2013
Learn to see signs of an often fatal disease
Pulmonary arterial hypertension can be recognized and treated. But it remains a diagnosis that is often missed, and the delay can lead to a rapidly progressing and fatal outcome. Learn the signs beyond a patient who reports “being out of breath.”.
https://immattersacp.org/archives/2013/04/pulmonology.htm
1 Apr 2013
Decision-making rules for diagnosing PE may save lives
Early detection of pulmonary embolism is critical, which puts the primary care internist on the front lines of preventing a patient's continual deterioration that culminates in death. Patients are as likely to present in the office with symptoms as they are at the emergency department.
https://immattersacp.org/archives/2013/03/pulmonology.htm
1 Mar 2013
PULMONOLOGY “Of all the patients that come here,we make ...
PULMONOLOGY. “Of all the patients that come here,we make a diagnosis of PE in about 10%to 20% of patients,” Dr.
https://immattersacp.org/archives/2013/03/acpi-201303-pulmonology_t2.pdf
28 Feb 2013
PULMONOLOGY “Of all the patients that come here,we make ...
PULMONOLOGY. “Of all the patients that come here,we make a diagnosis of PE in about 10%to 20% of patients,” Dr.
https://immattersacp.org/archives/2013/03/acpi-201303-pulmonology_t1.pdf
28 Feb 2013