Search results for "Asthma"
MKSAP Quiz: 6-month history of nonproductive cough
A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. Following a history, physical exam and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2014/05/20/3.htm
20 May 2014
Comorbid conditions associated with increased herpes zoster risk in younger patients
A range of conditions were associated with an increased risk of herpes zoster, especially immunosuppressive conditions, and the increased risk was greater in younger age groups, a study found.
https://immattersacp.org/weekly/archives/2014/05/20/5.htm
20 May 2014
MKSAP Quiz: ED evaluation for a painful body rash
A 64-year-old man is evaluated in the ED for a rash that first developed 3 days ago and has rapidly spread to cover most of his body. He has a history of mild psoriasis, well controlled with topical corticosteroids, and asthma. One week ago, he completed a 10-day course of oral corticosteroids for an acute exacerbation of asthma. On physical examination, more than 90% of his body surface area is erythematous. There are widespread coalescing erythematous patches and plaques, many with pinpoint pustules coalescing into lakes of pus. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/04/29/3.htm
29 Apr 2014
Review of anti-flu drugs find little benefit, side effects, flaws in approval processes
Two Cochrane systematic reviews on flu relief drugs, which for the first time considered clinical study reports in addition to published studies, concluded that the medicines didn't have much impact on the course of symptoms.
https://immattersacp.org/weekly/archives/2014/04/22/1.htm
22 Apr 2014
MKSAP Quiz: increasing asthma symptoms
A 24-year-old woman is evaluated for increasing asthma symptoms. Her symptoms now require her to use her as-needed albuterol inhaler two to three times per week, and she has been waking up at night at least once a week with asthma symptoms that require her inhaler. She is still able to perform most of her daily activities, including regular exercise, if she uses albuterol for prevention. She is allergic to house dust mites, ragweed, grass, trees, and cats. Following a physical exam and spirometry, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/03/25/3.htm
25 Mar 2014
MKSAP Quiz: 3-week history of painful muscle spasms and twisting movements
A 24-year-old woman is evaluated for a 3-week history of painful muscle spasms and twisting movements in the neck and trunk. She says that her neck feels as if it is being pulled backward. She also reports general restlessness and an inability to keep still. Her medical history is notable for asthma, type 1 diabetes mellitus, and gastroparesis with reflux. The patient has no family history of neuropsychiatric disorders or liver disease. Medications are albuterol, insulin, omeprazole, and metoclopramide. Following findings from a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/03/18/3.htm
18 Mar 2014
MKSAP Quiz: 2-week history of nonproductive cough and fever
A 35-year-old man is evaluated for a 2-week history of nonproductive cough and fever. He has a 20-year history of asthma. Three weeks ago, he visited friends in Indiana. He has no dyspnea, hemoptysis, or worsening of his baseline asthma symptoms. His only medication is an albuterol inhaler as needed. Following a physical exam, lab results and a chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/03/04/3.htm
4 Mar 2014
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
New drugs approved for type 2 diabetes and COPD
This regulatory update covers dapaglifozin (Farxiga) a sodium-glucose co-transporter 2 inhibitor, to treat diabetes, and umeclidinium and vilanterol inhalation (Anoro Ellipta) for maintenance of chronic obstructive pulmonary disease.
https://immattersacp.org/archives/2014/03/fda.htm
1 Mar 2014
Debate ignites over safety of e-cigarettes
E-cigarettes can open doors into the subject of quitting tobacco use. Although the devices lack any hard data to support their use, they can offer doctors a chance to explore with patients other options for smoking cessation.
https://immattersacp.org/archives/2014/03/e-cigarettes.htm
1 Mar 2014