Pulmonary Roundtable

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

Monday, August 14, 2006

Outside case: Adenopathy

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This was submitted to us: 34yr.old female w/ previous rt low lobe nodules since 2001 CT revealed the nodules while patient had chickenpox. N...
1 comment:

Wedding bells

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Congratulations to one of our editors: Jeff Jennings tied the knot this past weekend. We will keep posting while he is on his honeymoon.
1 comment:
Wednesday, August 09, 2006

Acid Base

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The chem-7 and the gas were both drawn within 22 minutes of each other in this 71 year old intubated man with sepsis and ARDS: 7.08/24/226 o...
6 comments:

Proceed or watch? Is it CA?

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Here is a case submitted to us: 8/1/06 49 YO Caucasion male, married with minor children, comfortably employed professional, USAF Gulf War V...
5 comments:
Tuesday, August 08, 2006

Mass and infiltrates

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This is a 59 y/o woman with a funny presentation: she had an episode of syncope at home, hit her head and had a skin lac requiring 7 stitche...
1 comment:
Thursday, August 03, 2006

Halleliujah

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From Arenberg: "In celebration of the fact that the IT people in the Department of Radiology at the University of of Michigan have reco...
2 comments:
Monday, July 31, 2006

Follow up to pleuritic pain and fatigue

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Old case presented by Mendez is here. Follow up: Transbronchial bx's revealed multiple epithelioid granulomas. Special stains for AFB a...
Sunday, July 30, 2006

Pulmonary nodules

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This is a 44 y/o man who works here in the hospital. He is a ctually a nice guy so I'm trying not to find anything too interesting on h...
1 comment:
Thursday, July 27, 2006

mediastinal nodes

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Case submitted from outside: 63 year old smoker with hypoxia. CXR looks extremely hyperinflated. PFTs with ratio of 0.67, FEV1 87% predicted...
Wednesday, July 26, 2006

LVRS contra-indication

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This question came up recently on this patient's follow-up. This is a relatively young man with HIV/AIDS who has done remarkably well o...
1 comment:
Tuesday, July 25, 2006

New lung nodule

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This is a 72 y/o man with a significant previous TOB Hx, moderate COPD who was referred to us for a new pulmonary nodule. He has had multipl...
3 comments:
Monday, July 24, 2006

More on the woman with eosinophilia

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Well, as you might remember, this patient with a past medical history of asthma had had a few months of dyspnea and malaise. A peripheral ...
6 comments:
Thursday, July 20, 2006

AAT replacement

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Question came in from here: Just a quick question on alfa-1 antitrypsin replacement. Do you use weekly regimen or monthly regimen? FDA has a...
3 comments:

Radiation and lung cancer

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I think it is my week to pick on radiation Tx... I already posted on the time delay notion (BTW, check out the PPT on that listed on the co...
1 comment:
Tuesday, July 18, 2006

Here's one from the "huh" category

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In a letter I received today, summarizing a patient's recent hospitalization: "...led us to the decision that a below-elbow amputat...
1 comment:

Time to Chemo and xRt

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This has come up in discussions with our hem-onc dept.: Hem-onc has been frustrated by perceived delays from "first abnormal CxRay...
2 comments:

Obesity and lung disease

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I had posted on obesity and obstructive lung disease but did not get much feedback... JJ had an interesting aside on BMI progression over ti...
5 comments:

Smoking cessation

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JJ had posted on the JAMA article on Varenicline (Pfizer's Chantix for smoking cessation). Has anybody had a chance to prescribe it yet?...
7 comments:
Monday, July 17, 2006

TBBx protocol

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AK asks: Wondering how many people out there do blind TBB's or if fluoro is pretty routine. Do people favor a particular protocol? I...
3 comments:
Friday, July 14, 2006

56 year old woman with eosinophilia

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56-year-old woman with a past medical history of asthma since age 38 with 2 previous courses of steroids, otherwise well controlled who pres...
4 comments:
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