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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://acpinternist.org/weekly/archives/2014/10/21/3.htm
21 Oct 2014

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://acpinternist.org/weekly/archives/2015/06/09/3.htm
9 Jun 2015

Hypertension guidelines lead to vigorous debate

This issue includes stories centered on various aspects of hypertensions, as well as topics specific to mean's health, electronic health records and physical rehabilitation referrals.
https://acpinternist.org/archives/2014/04/editors.htm
1 Apr 2014

The next issue of ACP Internist is online and coming to your mailbox

Stories are online for the April issue of ACP Internist, including new hypertension guidelines, maintaining men's health in middle age, and referrals to rehabilitation.
https://acpinternist.org/weekly/archives/2014/04/01/8.htm
1 Apr 2014

Increasing help for physician impairment

This issue also covers new drugs for depression, conference coverage about gastroenterology, and escalating generic drug prices.
https://acpinternist.org/archives/2019/09/increasing-help-for-physician-impairment.htm
1 Sep 2019

Prescribe opioids, but with caution

Use of opioids for chronic pain quadrupled in a 10-year span, despite scant evidence that they are effective for noncancer pain and ample evidence of harm. Learn more about how to prescribe them safely.
https://acpinternist.org/archives/2015/07/opioids.htm
1 Jul 2015

CDC proposes 12 draft recommendations for prescribing opioids

The agency is accepting public comment until Jan. 13.
https://acpinternist.org/weekly/archives/2015/12/22/2.htm
22 Dec 2015

Warning on NSAIDs; new schizophrenia drug approved

This update covers a strengthened warning on NSAIDs and a new drug to treat schizophrenia.
https://acpinternist.org/archives/2015/09/fda.htm
1 Sep 2015

ASCO releases guidelines on treating adult cancer survivors with chronic pain

Among other recommendations, clinicians should conduct an initial comprehensive pain assessment, which should consist of an interview exploring factors related to pain, cancer treatment history, comorbid conditions, psychosocial and psychiatric history, and prior pain treatments, and then screen for pain at each encounter.
https://acpinternist.org/weekly/archives/2016/08/02/2.htm
2 Aug 2016

Guideline offers recommendations to prevent acute COPD exacerbations

An evidence-based guideline from the American College of Chest Physicians and Canadian Thoracic Society offers recommendations on preventing exacerbations in patients with chronic obstructive pulmonary disease (COPD).
https://acpinternist.org/weekly/archives/2015/04/14/2.htm
14 Apr 2015

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