Pulmonology Consultations Archive
What options are available for patients who cannot or are unwilling to pay the higher copayment for nongeneric medication?
At what point is it safe to consider stopping a steroid metered-dose inhaler?
A young man presents with constant periumbilical pain, extreme weakness, anorexia, nausea, constipation, and orthostasis.
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?
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.
Are there any studies that confirm effective calcium absorption when the patient is taking long-term proton pump inhibitors (PPIs) along with oral calcium?
Are more clinicians performing auscultation through garments?
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?
Could a woman's nail dystrophy be related to a history of mild intermittent asthma?
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?
What is the best way to differentiate tonsillopharyngitis from a peritonsillar abscess?
What are the consequences of elevated homocysteine in young asymptomatic patients with and without comorbidities?
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 seeks guidelines for ordering abdominal ultrasound to detect asymptomatic abdominal aortic aneurysm in a smoker.
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?
PA questions whether a child would have better immunity to diseases if introduced to day care earlier.
Do decongestants and/or antihistamines decrease the likelihood of tympanic membrane (TM) rupture?
A 67-year-old man with stage 3 non-small cell lung cancer has had two sessions of...
What is the significance of a procalcitonin (PCT) level in the face of questionable pneumonia? How reliable is a PCT determination in the decision to...