Pulmonary Roundtable

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

Tuesday, January 31, 2006

Normal PFT;s and the following CXR

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Without dwelling on symptoms, does this CXR look like fibrosis to you? What would you say if her PFT's were entirely normal with that C...
2 comments:

Abnormal CT scan

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This is a man in his early 40s with an abnormal CT scan: he had presented to the ER with atypical chest pain, had a negative cardiac workup ...
5 comments:
Monday, January 30, 2006

Monday PFT's

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Interesting PFT's in an aysmptomatic woman. Any comments?
2 comments:

Active or latent TB

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77 year old admitted a year ago with pneumonia and referred for lung nodules. He had a PPD placed for unknown reasons in December, (no TB r...
5 comments:
Saturday, January 28, 2006

RLL mass - lobectomy or more workup?

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Elizabeth send the following: 45 year old male smoker w/hx 2ppd for 20 years otherwise healthy with no prior hx of pulmonary disease.or medi...
4 comments:
Thursday, January 26, 2006

Radiology Thursday (for Mendez)

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This is a previously healthy 21 y/o woman who works at a local hotel and gets periodic PPDs. She had a negative PPD last year and is a new c...
3 comments:
Wednesday, January 25, 2006

Abnormal CXR

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91 yo female admitted to the ICU for hypotension. This is her CXR the following morning... What would be your next step?
15 comments:

Pneumovax

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Do you offer the pneumovax for immunocompetent patients less than age 50 who have asthma ? The recommendations do include COPD for the above...
3 comments:
Tuesday, January 24, 2006

Sedation for bronchs

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For the past 9 months or so, we have been using Propofol alone for sedation for our outPt bronchs. It works great: compared to Versed there...
7 comments:

Lymphadenopathy

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Just curious on Consensus: 79 year old no respiratory symtpoms. CT from August 2004 showed some hilar and paratracheal nodes. They have bee...
2 comments:
Monday, January 23, 2006

Patient post - 23 year old woman.

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Every once in a while we will post questions from patients. Usually we like to keep to the original theme of the blog, which is discussion o...
8 comments:
Friday, January 20, 2006

Bronchiectasis consult

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We have received this question from one of our readers: I'm a 32 year-old man, having Minimal bronchiectatic changes since the childwood...
7 comments:
Thursday, January 19, 2006

Trapped lung

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I had posted on this 70 y/o woman back in October with CT results early in November . She had the proximal lesion with complete L lung colla...
3 comments:
Wednesday, January 18, 2006

NSIP with RF 58

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A 70 year old has had about 15 years of (stable) arthralgias in the knees, feet and DIPs. 5 years ago a routine CXR suggested some scarring...
5 comments:
Tuesday, January 17, 2006

Remote follow-up

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This is a case from late October but I still like it because of the pictures. This was the 65 y/o man with CHF (EF~25-30%) with 6 weeks of d...

Answer to Radiology Monday

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The patient has some fluid-filled cystic spaces in the retro-sternal and retro-cardiac areas with the interstitial changes outlined by Jenni...
Monday, January 16, 2006

Radiology Monday

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This is one of our regular patients in his 60's with chronic cough and dyspnea. What do you think of the CxR?
4 comments:
Thursday, January 12, 2006

Therapy for IPF

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I had seen this 76 y/o man about 18 months ago for "abnormal CxR". He had "dry" crackles, a mild restrictive defect (FVC...
3 comments:
Wednesday, January 11, 2006

Follow up to back pain

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This post didn't get that much attention :( so here is some f/up: This is the young guy with back pain and bacteremia. He grew MRSA on ...
3 comments:
Tuesday, January 10, 2006

upper lobe markings

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A 64 year old woman had a screening CXR because of previous smoking history leading to a CT showing upper lobe central bronchovascular densi...
3 comments:
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