Recently in Pulmonary Category

Massive PE and thrombolysis?

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In a patient with symptomatic pulmonary embolism wherein recommended doses of thrombolytic therapy is contraindicated because of recent surgery or GI bleeding, is low-dose, long-term thrombolytic therapy a useful adjunctive measure?

- submitted by Patrick Bui

When to act if empyema suspected?

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In an ICU patient with necrotizing pneumonia who has persistent leukocytosis despite adequate antibiotic coverage and an X-ray (see attached) suggestive of empyema, when do you get a computed tomography scan of the chest or therapeutically drain it?

- submitted by Nancy Huh

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Aspergillus & HIV infection

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If neutropenia is a risk factor for aspergillosis, why do people with HIV not have an increased incidence of the disease?

- submitted by J.P. Yu

CHF or COPD?

| 2 Comments

In an elderly patient with history of CHF & COPD who presents to the ER with shortness of breath, how can I differentiate the underlying etiology?

- submitted by Elena Shagisultanova

R/O Pulmonary Embolism?

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In a patient with moderate risk by the Well's Criteria for PE and renal insufficiency (creatinine clearance < 45 mL/min) and , how can I rule out pulmonary embolism?

- submitted by Michael Bazylewicz

Recent Comments

  • mbazylewicz: Ok, here is my understanding from reading UpToDate: Parapneumonic effusion read more
  • Patrick: Initially, Aspergillosis was considered an AIDS-defining oppurtunistic infection in the read more
  • AH: Liver failure due to methimazole use. Woeber KA. Methimazole-induced hepatotoxicity. read more
  • eva mikrut: how often has dopamine or dobutamine been shown to affect read more
  • Farheen: I think we cannot make the diagnosis of diabetes in read more
  • Patrick: First, creatinine at higher levels is associated with smaller incremental read more
  • mbazylewicz: I read three reviews of diuretic resistance and none of read more
  • Patrick: Diagnostic Tests BNP: in the Breathing Not Properly study, using read more
  • Patrick: In a study of 259 primary care patients: symptoms Dyspnea read more
  • Patrick: Question: how would elevated central venous pressures affect renal venous read more