Pulmonary Roundtable

Discussion of interesting or befuddling cases related to pulmonary and critical care medicine.

Wednesday, November 30, 2005

Lung mass

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This is a 54 y/o man with a 2-pack day TOB habit who had been referred to us for atypical chest pain. He complained of intermittent chest ti...
2 comments:
Tuesday, November 29, 2005

Abnormal CxR and hypoxemia

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We were consulted on this pleasant 58-year-old white male with known coronary artery disease. He was last admitted 3 months ago with a infer...
7 comments:
Monday, November 28, 2005

ICS in COPD

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This is a quick question. How often do you add inhaled steroids in the care of your COPD patients? I am more curious about people's an...
2 comments:
Thursday, November 24, 2005

Happy Thanksgiving

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We will be back soon with more posts.
Tuesday, November 22, 2005

Follow-up to Picture Friday (Janeway lesions)

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This is the 65 y/o man with FUO and palmar and plantar lesions. He has now had about 4 weeks of ABTx. His serologies for Coxiella and RMSF...
Monday, November 21, 2005

Consult to "bronch"

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We were asked to consult on a patient to "rule out endobronchial lesion via bronch". A 52-year-old male has an unremarkable past m...
3 comments:
Thursday, November 17, 2005

Cool films!

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50-something y/o man with no significant past medical history prior to 3-4 months ago, when he developed progressive shortness of breath and...
7 comments:
Wednesday, November 16, 2005

Followup to 2 weeks of dyspnea

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Mendez and Jeff H both picked up on the salient points. Here is the canned message from Carlos as he hangs out somewhere in Lima: For thos...

ARDS and pulmonary function

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From a PCP in NC: "Quick question: what PFT parameter is the last to normalize (if it ever does) in patients with ARDS, 1 year out?...
1 comment:
Tuesday, November 15, 2005

2 weeks of dyspnea

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Carlos' case: We were consulted on this is a 28 y/o man with no previous PMHx who presented to the ER with progressive worsening DOE ove...
1 comment:
Monday, November 14, 2005

Pulmonary embolism and intervention

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The cover of the Nov 1st Blue journal (AJRCCM 172(9)) showing a fibrosed thrombus reminded me how controversial treatment of this entity ca...
3 comments:
Sunday, November 13, 2005

When to Treat MAI

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80 yo female with PVOD s/p TIA many years ago presented with multiple pulm nodules about 2 years ago to her PCP. The radiologist was worried...
4 comments:
Tuesday, November 08, 2005

COPD and weight loss.

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From Carlos, who is on vacation: This is a 60 y/o man with a 50 p/y Hx of smoking sent to us because of worsening DOE, cough productive of s...
3 comments:
Monday, November 07, 2005

18 year old with hemoptysis

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18-year-old male referred for hemoptysis. He reports several episodes of pneumonia in last several years. His mother believes that these h...
Friday, November 04, 2005

Approach to this lesion

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A physician wants some feedback regarding how to approach this lesion. This is an abdominal CT. A chest CT has not yet been done. The que...
2 comments:
Thursday, November 03, 2005

Check out our ongoing cases!

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Just a reminder to check on some of the ongoing cases. DKeena had a great case on Enbrel-associated infiltrates in need of comments. I have ...

Update on "update on picture Friday"

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This is the 65 y/o man with FUO and palmar and plantar lesions posted on Picture Friday . There have been a few very good new comments on t...
1 comment:

Follow-up to abnormal CxR - part II

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This is the woman in her 70s with an abnormal CxR . After the thoracentesis she had more L lung collapse: by the time of the bronch and th...
3 comments:
Wednesday, November 02, 2005

Unbound Medicine

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We came across this jewel of a site from Mexico that focuses on medical education. As such there are some interesting cases posted there.
1 comment:

Follow-up to abnormal CxR

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This is the woman in her 70s with an abnormal CxR . Everyone picked up on the loss of volume and nobody was "fooled" by the negat...
2 comments:
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