Pulmonary Roundtable

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

Wednesday, June 04, 2008

Inhaled LABA's

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Here's a link to a new meta-analysis (Annals of Internal Medicine) of LABA's + ICS vs. ICS alone. It's taken from the GSK datab...
1 comment:
Wednesday, May 28, 2008

Adenopathy

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Patient is a 68 year old African American woman with a history of non-Hodgkin's lymphoma treated with chemotherapy and radiotherapy in 1...
6 comments:
Thursday, May 22, 2008

Update on cavitary lesion

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Well, I thought this patient would have active TB. 3 AFB's were negative. Here is a CT we then got: We bronched her and all AFB's...
5 comments:
Thursday, May 15, 2008

What do you see?

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The patient is a 59-year-old female with history of hepatitis C, currently on dual therapy with pegylated interferon and ribavirin for last ...
6 comments:
Monday, May 12, 2008

stage iiia?

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Would this PET scan be enough to convince you that this is IIIa or would you have the surgeon go after that node for staging purposes? A cor...
3 comments:
Saturday, April 05, 2008

post thoracotomy pain

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One more post today. How do you best deal with post-thoracotomy pain. I admit I see it fairly often as well. Patient writes in a recent co...
3 comments:

ABPA without steroids

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A reader writes: I am 48 years old female, and lived with asthma for the last 25 years. I am not under great control. I have had blood work...
1 comment:
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:
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