ITEMS IN AFP WITH KEYWORD:
Conservative observation of patients presenting with a first primary spontaneous pneumothorax is as effective as immediate chest tube insertion in achieving full lung re-expansion at eight weeks.
A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.
Acute respiratory distress syndrome is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Most cases are associated with pneumonia or sepsis; coronavirus disease 2019 is also a cause. Treatment is supportive and includes mechanical ventilation, prophylaxis for stress ulcers and venous thromboembolism, nutritional support, and treatment of the underlying injury.
Short-term systemic corticosteroids are frequently prescribed for adults by primary care physicians; however, short courses of the steroids are associated with adverse effects, including hyperglycemia, elevated blood pressure, mood disturbance, sepsis, and fracture. There is evidence against corticosteroid use in patients with acute bronchitis, acute sinusitis, carpal tunnel, and allergic rhinitis and for its use in patients with Bell palsy and acute gout. There is insufficient evidence supporting its use for patients with pharyngitis, lumbar radiculopathy, and herpes zoster.
Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.
Jan 1, 2018 Issue
Tuberculosis: Guidelines for Diagnosis from the ATS, IDSA, and CDC [Practice Guidelines]
Persons with Mycobacterium tuberculosis infection may have no clinical evidence of disease and present asymptomatically, known as latent tuberculosis infection (LTBI) or symptomatically, known as tuberculosis (TB). The American Thoracic Society (ATS), Infectious Diseases Society of America (IDSA), a...
A man presented with right-sided neck, throat, and ear pain after a five-mile run.
Diagnosing pulmonary hypertension can be challenging because of nonspecific symptoms that may be attributed to comorbidities. Using a stepwise approach, physicians can minimize risks and avoid unnecessary testing. Treatment generally focuses on the underlying condition and may involve referral to an expert center.
Sarcoidosis should be suspected in young and middle-aged persons with shortness of breath, unexplained cough, or constitutional symptoms. Learn the criteria for diagnosis, how to determine prognosis, and about the most common treatment options.
Learn how nodule size and probability of malignancy should guide subsequent imaging and follow-up for solitary pulmonary nodules.