Pulmonary Roundtable

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

Tuesday, January 30, 2007

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This is an 89 year old previous smoker with a probably stage 1b cancer: No adenopathy. She looks younger than her stated age but has emphyse...
6 comments:
Thursday, January 18, 2007

Solitary pulmonary nodule

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I recently saw a 62-year-old woman with a past medical history of fibromyalgia who received a CT scan for chest pain, which picked up an inc...
5 comments:
Monday, January 15, 2007

Follow up to vocal cord paralysis

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A new question from anonymous regarding the case on vocal cord paralysis Has anyone scoped his GI tract to R.O esophageal disease?
1 comment:

multiple pulmonary nodules in system lupus

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Case from slkanowitz: 57 y.o. white female with SLE for 20+yrs presents with multiple small non calcified nodules on chest CT. CT was done f...
2 comments:
Tuesday, January 09, 2007

Hypersensitivity Pneumonitis

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Anonymous M.D. asks if anyone knows of alternative immunotherapy for the treatment of chronic hypersensitivity pneumonitis in a patient who ...
4 comments:
Tuesday, January 02, 2007

Follow-up to PAP case

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I had posted a while ago on this patient with alveolar changes and a Bx consistent with PAP . We had also initiated a discussion on PAP and...
1 comment:

Post-thoracotomy pain

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One of my patients has had persistent post-thoracotomy pain following a RULobectomy in 9/05. She has been on gabapentin and narcotics; trie...
7 comments:
Wednesday, December 27, 2006

Portable oxygen concentrators

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One of my COPD patients was asking me about purchasing a portable/travel concentrator such as this one . Have you had much experience or fee...
2 comments:
Tuesday, December 19, 2006

Vocal cord paralysis

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This 61 y/o man was sent to our office by ENT for w/up of a vocal cord paralysis. He has had subacute-onset hoarseness for the past 2-3 mont...
4 comments:
Friday, December 15, 2006

RLS

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Have you had a lot of experience with Requip (ropinirole) for restless leg syndrome? If not, what is your preferred therapy fro RLS?
3 comments:
Monday, December 11, 2006

Differential and w/w

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43 year old presented with 6 weeks of progressive dyspnea associated with URI-type symptoms. Had recieved several courses of antibiotics as...
4 comments:
Saturday, December 09, 2006

Follow-up to Pulmonary Nodules

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This is the 51 y/o woman with COPD and pulmonary nodules. We had the same concerns and DDx as proposed in the discussion. I did a bronchosc...
1 comment:
Tuesday, December 05, 2006

Pulmonary nodules

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This is a 51 y/o woman followed in our office for moderate COPD. She continues to smoke and has had worsening dyspnea and weight loss for...
3 comments:
Thursday, November 30, 2006

Airway remodelling

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I have posted a question on this a while ago. I see a fair number (just saw one today) of older patients (usually women) who have never smo...
2 comments:
Monday, November 27, 2006

SOB

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62 woman c/o 2 weeks ago started to have cough with greenish sputum. She presented to the ER where workup included a CT (below). Pt states ...
1 comment:
Friday, November 24, 2006

Follow-up to dyspnea

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This is the recent post of the 47 y/o woman with dyspnea. JJ and Krayem suggested HP and on the TBBx we had loose granulomata with lots of ...
3 comments:
Tuesday, November 21, 2006

CXR followup after resection

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A curious reader from Maine would like to know: How frequently and for how long, do you follow xray/CT's after the surgical resection of...
1 comment:

BCG and latent tb

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A patient had a previous negative PPD as a requirement for work. She then went oversees for a time and receieved the BCG vaccine. She is n...
5 comments:

Dyspnea

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I have just seen this 47 y/o woman for new onset dyspnea. She has had malaise, non-productive cough and DOE for the past 6 weeks. Occasiona...
2 comments:
Wednesday, November 15, 2006

Dyspnea

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I just saw this 70 y/o woman in consult today. Her only complaint is dyspnea on exertion: she gets tired after walking more than a mile. No ...
2 comments:
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