Pulmonology Features Archive
A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.
Dr Windel Stracener, a family practitioner for 22 years, discusses substance abuse, sexual activity, and other sensitive topics many clinicians do not ask their patients.
A middle-aged patient with morbid obesesity and COPD complains about having shortness of breath at rest and dyspnea on exertion.
Clinicians must rely on the combination of clinical examination, signs and symptoms, microbiologic testing, and radiographic findings to diagnose hospital-acquired pneumonia.
A 44-year-old man presents to an urgent care clinic with leg edema and shortness of breath.
The importance of ruling out conditions other than idiopathic pulmonary fibrosis is highlighted in this case of a 62-year-old female.
It is well-accepted that healthcare practitioners have a duty to their patients, but do patients have a duty as well?
A congenital condition is found in an infant with respiratory and gastrointestinal symptoms.
Patients with COP generally have positive outcomes following a definitive diagnosis and the initiation of appropriate treatment.
A clinician offers a tip helping patients remember to use their steroid inhalers.
Doctors must assess for the presence of pulmonary hypertension in patients with lung disease, COPD, or emphysema, among other conditions.
Recent studies show that nivolumab was associated with increased overall survival rate when compared to docetaxel in patients with advanced squamous cell non-small cell lung cancer.
Pediatrics patients with asthma who have to undergo surgery are at risk for complications.
Learn how to diagnosis and treat acute bronchitis.
A clinician misses a fatal pulmonary embolism in a patient known to make minor complaints.
Although e-cigarettes may not be considered healthy, they may be the lesser of two evils when compared with traditional tobacco cigarettes.
Take caution when using oxygen therapy to treat patients with emphysema.
Use the acronyms PASS and PAID to remember important murmurs
Xylitol is a primary sugar alcohol that can be used to help various dental problems as well as upper respiratory and ear infections.
A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.
The Department of Transportation's new physical examination requirement helps employees quit smoking.
Regular use of inhaled corticosteroids may cause a small reduction in height or a dose-dependent reduction in growth velocity.
The WHO indicates NAC is essential for pulmonary and renal protection, antimicrobial uses, and psychiatry.
Airflow disturbances during sleep need to be recognized and evaluated before harm comes to the patients themselves or those around them.
Study suggests yoga does not offer benefits for patients diagnosed with asthma and should be considered a supplemental alternative intervention.
I have my patients bring all of their pumps to me and will write on the plastic canister with a Sharpie permanent marker.
Magnesium is a common component of lightweight metals and is the fourth most abundant mineral in the body.
Disclosing his own cessation success, this veteran practitioner inspired a COPD patient to quit smoking.
Of the patients, 42.6% treated with normal saline required hospital admission, compared with 28.9% of the hypertonic saline group.
Although azithromycin is usually first-line treatment, recent evidence has linked the drug with an increased risk of cardiovascular events.
Begin to impart asthma information to young patients and/or their caregivers as early as possible.
New users of benzodiazepines were 45% more likely to experience an exacerbation of respiratory symptoms.
Clinicians who recognize various types of pediatric coughs will be better able to identify serious underlying conditions in the young patient.
Heart sounds can be difficult to hear in someone whose lungs are hyperinflated. Here's a tip to make it easier to detect.
A straightforward simile to help young clinicians learn what to listen for when auscultating a patient.
Tips for when you perform the respiratory portion of a pediatric examination.
What therapeutic options exist for COPD patients who follow guidelines but still have difficulty breathing?
What can be used to treat vaginal dryness and decreased libido in women who smoke?
An oncologist and hematologist are consulted when an otherwise healthy 19-year-old patient presents with a cough that won't go away and an enlarged left arm.
How often should stable patients with asthma undergo spirometry?
What options are available for patients who cannot or are unwilling to pay the higher copayment for nongeneric medication?
Lansoprazole was associated with higher rates of upper respiratory infection, sore throat and bronchitis and no effect on asthma control.
At what point is it safe to consider stopping a steroid metered-dose inhaler?
Warm saltwater gargles for sore throats and salt poultices for soft-tissue infections are two of many commonly used salt therapies.
Budesonide given only during acute respiratory illness may prevent asthma as effectively as daily budesonide in young children with a history of wheezing.
A young man presents with constant periumbilical pain, extreme weakness, anorexia, nausea, constipation, and orthostasis.
The symptoms of this common lung infection usually dissipate after a week, but some cases can become severe and require hospitalization.
Individuals who smoke or have ever smoked should avoid high-dose vitamin A supplementation due to a high correlation between smoking, vitamin A and lung cancer.
A patient with a tracheostomy for severe obstructive sleep apnea has not responded to several treatments to decrease secretions from the plastic tube. What's the next step?
The addition of a pedometer-based physical activity intervention to a smoking cessation program increased quit rates in teenagers, particularly in boys.
A recent randomized trial evaluated the effects of noninvasive ventilation on mortality and need for intubation in elderly patients with hypercapnic respiratory failure.
A Native American man aged 40 years presents with a very tender right rib cage cystic formation that measures 2.0 x 2.0 x 0.5 cm.
A nurse offers a surprising, yet effective solution for helping patients catch their breath.
Are there any studies that confirm effective calcium absorption when the patient is taking long-term proton pump inhibitors (PPIs) along with oral calcium?
A new randomized trial provides strong evidence that azithromycin reduces exacerbations and improves respiratory function in high-risk patients.
Are more clinicians performing auscultation through garments?
Help patients avoid nose bleeds with this simple directive.
Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?
How reliable is a CT scan of the sinuses in a patient who does not respond to an initial extended course of antimicrobial treatment for sinusitis?
Asthma can disrupt sleep, resulting in missed school days, and may affect a child's ability to participate in sports and other activities. Remember that asthma symptoms in children and adults may differ.
A nurse practitioner shares instructions for making an asthma medication spacer to use in emergency situations out of every day materials.
Could a woman's nail dystrophy be related to a history of mild intermittent asthma?
Quercetin, a potent antioxidant, is found in red wine, onions, green tea, apples, berries and cruciferous vegetables and is a popular component in the herbal and supplemental marketplace due to it's value in treating and preventing many illnesses.
What is the best choice for cardioprotection in a woman aged 75 years with episodic symptomatic angina, MI one year earlier and a sensitivity to nitroglycerin patches and spray?
Is it safe for a patient with chronic obstructive pulmonary disease to be on high doses (e.g., 100 mg b.i.d.) of metoprolol?
Which antidepressant would you recommend for a woman aged 47 years who presents with depressed mood, low energy, decreased motivation and hypersomnia?
A nurse uses two easy-to-remember catch phrases to encourage pursed-lip breathing among patients with COPD.
What is the best way to differentiate tonsillopharyngitis from a peritonsillar abscess?
Discourage teenagers from engaging in risky behaviors such as drug, tobacco and alcohol use in a meaningful way.
What are the consequences of elevated homocysteine in young asymptomatic patients with and without comorbidities?
Brewer's yeast: Medical uses in cancer, therapy for premenstrual syndrome and antibiotic-associated diarrhea
Brewer's yeast, or Saccharomyces cerevisiae, is specifically grown as a nutritional substance rich in chromium, selenium, proteins and B-complex vitamins.
Are health care providers performing proper follow-up for patients who where previously diagnosed with BCG vaccine who have positive skin tests for tuberculosis?
Is sertraline contraindicated in patients with asthma or chronic obstructive pulmonary disease (COPD)?
Clinician shares an unexpected dermatologic use for fluticasone.
Tip for guaranteeing a culture the first time you swab.
Knowing when to prescribe antibiotics and what kind to give is crucial. Here are some guidelines for patients with mild-to-moderate infections.
Medically, licorice traditionally has been used as a general anti-inflammatory, antitussive, GI soothant, and for respiratory support. The potential for antiviral activity and hepatocellular protection in cases of hepatitis C has also been discussed.
Clinician seeks guidelines for ordering abdominal ultrasound to detect asymptomatic abdominal aortic aneurysm in a smoker.
Amoxicillin-clavulanate studied in children who met strict criteria for AOM diagnose.
A tip for performing rapid strep tests and throat cultures.
When should an adult with a spasmodic upper-respiratory infection be swabbed for pertussis?
Given the number of immigrants from Third World countries, why are medical providers still teaching that BCG vaccine provides lifelong protection against TB?
Should the clinicians be held responsible for failing to offer revaccination to a high-risk patient?
Hospital staff surprised by a patient's sudden change in disposition.
Early experience in the medical ICU helped a nurse choose the appropriate test.
A quick email resulted in an outpouring of appreciation for a veteran's service.
Treatment with a combination of long-acting bronchodilators and inhaled glucocorticosteroids can reduce the rate of decline in lung function.
The man's heretofore unknown neurologic condition calls the original diagnosis into question.
Do decongestants and/or antihistamines decrease the likelihood of tympanic membrane (TM) rupture?
High-dose IV corticosteroids are widely prescribed for patients admitted to the hospital with acute exacerbation of chronic obstructive pulmonary disease (COPD), despite guidelines recommending oral steroids at lower doses.
When x-rays are not available, should asymptomatic employees be allowed to return to work?
Butterbur, once discouraged because of its potential to cause liver damage, is now widely used in Europe to combat allergic rhinitis, asthma, and migraine.
Does tobacco use after buprenorphine and naloxone (Suboxone) treatment encourage relapse?
What risks are involved?
Are e-cigarettes a better alternative to smoking?
A physically fit young woman seeks medical care when she develops increasing dyspnea and signs of a circulatory disorder.
Childhood asthma tends to be allergic, whereas adult forms comprise airway disorders. Our experts tell how to classify, treat, and manage the condition.
If a patient smokes and reports a cough and weight loss, don't take any chances: Order an x-ray. And there are other symptoms to watch for, too.
A change in cough, sputum, or dyspnea can signal an acute exacerbation. Here's what you can do to help keep the situation under control.
The pathologist identified the enlarging nodule as "undifferentiated malignancy," but the author insisted on a repeat biopsy.