Search results for "Pulmonology"


 
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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

Letters to the Editor

Readers submit their thoughts on bone mineral density testing and a better title for “internal medicine.”.
https://immattersacp.org/archives/2012/03/letters.htm
1 Mar 2012

MKSAP Quiz: Confusion and agitation secondary to malignant hypertension

This week's quiz asks readers to evaluate a 67-year-old man who presents to the emergency department for confusion and agitation secondary to malignant hypertension.
https://immattersacp.org/weekly/archives/2011/12/20/3.htm
20 Dec 2011

MKSAP Quiz: Gradually progressive dyspnea

A 74-year-old man is evaluated for a five-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. Physical examination shows no digital clubbing or cyanosis. What is the most likely diagnosis?.
https://immattersacp.org/archives/2011/01/mksap.htm
1 Jan 2011

MKSAP Quiz: 1-year history of cough

A 38-year-old man is evaluated for a 1-year history of cough with mucoid sputum and a 6-month history of mildly progressive dyspnea. He has a 12-pack-year history of smoking. He has no history of asthma, allergies, skin disease, or liver disease. Following physical and pulmonary exams and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/06/10/3.htm
10 Jun 2014

MKSAP Quiz: 1-year history of progressive exertional dyspnea

This week's quiz asks readers to determine the next step in management of a 54-year-old woman with a 1-year history of progressive exertional dyspnea.
https://immattersacp.org/weekly/archives/2012/04/03/3.htm
3 Apr 2012

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: 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

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

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

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