This month's column offers observational pearls for obvious respiratory distress in the ICU and on the wards.
1 May 2023
Patients gave higher ratings after a referral if the specialist trained with their primary care physician, a quasi-experimental study found.
10 Jan 2023
Inhaled bronchodilators may not improve respiratory symptoms in tobacco-smoking patients with preserved lung function
A randomized controlled trial in patients with at least a 10 pack-year smoking history and respiratory symptoms but normal spirometry results found no difference in symptoms over 12 weeks between those who received indacaterol plus glycopyrrolate twice daily or placebo.
13 Sep 2022
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.”.
1 Apr 2013
A 40-year-old man is evaluated 10 days after an ED visit for a cough, chest tightness, wheezing, and shortness of breath. He reports a similar episode requiring an ED visit one year ago. Following a physical exam and cardiopulmonary exam, what is the most appropriate management?
29 Mar 2022
Patients with undiagnosed chronic obstructive pulmonary disease (COPD) can sometimes hide in plain sight.
1 Sep 2022
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
17 Mar 2020
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.
1 Mar 2013
A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
19 Nov 2019
The consequences of postacute sequelae of COVID-19 have led to research into this emerging condition.
1 Jul 2021