Pulmonary Roundtable

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

Thursday, March 20, 2008

Acute ILD

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This 77 year old man has had a bit of honeycombing at the bases since at least 2004. Radiographically c/w UIP. Biopsies not done and he ha...
1 comment:
Wednesday, March 19, 2008

lesion in a 45 year old woman

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A 45 y/o woman presented with atypical chest pain that led to a ct showing the following: Although a benign lesion/resolving pneumonia were ...
5 comments:
Wednesday, February 20, 2008

What's your line?

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A resident put in a left subclavian line and maybe went a little too far. An xray shows that it went into the right atrium and into the IVC...
Friday, February 15, 2008

Fibrosis

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A submission from a reader: "34 year old, non-smoking African American female presenting with a recurring (for three years now), chroni...
5 comments:
Wednesday, December 19, 2007

41 year old with HIV and fever

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This is a 41 year old man with AIDS, CD4 below 10, who presented with shortness of breath and fever. He was admitted to a general ward but ...
8 comments:
Friday, November 30, 2007

Lymphocytic effusion

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Since another question from a doc is related to TB, I'll post that here as well: 55 y old gentleman presented with few weeks history of ...
2 comments:

TB treatment and a followup BAL

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A physcian from Florida recently asked how one should approach the following. A younger man from a TB-endemic area with cavitary upper lobe...
1 comment:
Monday, November 12, 2007

need for lymph node biopsy?

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Question submitted by anonymous: 24 year old Asian female presented with chronic productive cough of green/yellow sputum for the last year. ...
4 comments:
Thursday, October 25, 2007

Lung cancer letter

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Very interesting letter to the editor on lung cancer, that puts things into perspective and that is often overlooked. Written by someone w...
Tuesday, October 23, 2007

IPF treatment - worse than the "cure"

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Here's another anecdote on a patient started on prednisone/azathioprine/NAC for IPF. He was started on this for a variety of reasons, b...
4 comments:
Monday, October 15, 2007

Precedex?

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Redneck Crit Care (nice name) submitted this question: One of our CT surgeons has been using Precedex for postop sedation for vent patients ...
2 comments:
Saturday, October 13, 2007

Tuberculosis

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Interesting question submitted from Nasia: 18 year old man migrated from Thailand in 2005. Father in 2004-2205 had active pulmonary TB, trea...
1 comment:
Tuesday, September 18, 2007

Pneumosiderosis

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What causes Pneumosiderosis? Try doing a search on that you won't find anything. It is a 64 year old patient presenting with some weight...
1 comment:
Monday, September 10, 2007

intermittent oxygen in hydropneumothorax with Bronchopleural fistula(BPF)?

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Here is an interesting question submitted by "zolt" OK we all know that oxygen accelerates the rate of absorption of pneumothorax ...
3 comments:

Follow-up to pulmonary infiltrates

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This is the case below with worsening infiltrates. She had diffuse alveolar hemorrhage and we checked an ANCA that was + at 1:640. She was...
1 comment:
Sunday, September 09, 2007

D-dimer testing to determine the duration of anticoagulant therapy

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What do you all think about using the d-dimer test in the decision to stop or continue anticoagulation in patients with a first idiopathic t...
Wednesday, September 05, 2007

Pulmonary infiltrates

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This is a 77-year-old woman who presented with significant cough, dyspnea and hypoxemia and was found to have pulmonary infiltrates. She has...
3 comments:
Monday, September 03, 2007

Abnormal CxR

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This is a follow-up to the case below of the 64 y/o man with dense pulmonary infiltrates. Cultures were all negative. His ANCA was positive...
1 comment:
Friday, August 31, 2007

More data on "Abnormal CxR"

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This is the 64-year-old man with progressive, worsening dyspnea described below. Initial blood cultures and sputum culture were non-revealin...
Tuesday, August 28, 2007

Abnormal CxR

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This is a very pleasant, 64-year-old man with progressive worseningdyspnea over the past couple of months. He states that up until maybe six...
6 comments:
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