Pulmonary Roundtable

This has come up on our recent P&T meeting. We use a fair amount of IV haldol in the ICU even though haldol is not FDA-approved for IV ...

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...

Patient is a 68 year old African American woman with a history of non-Hodgkin's lymphoma treated with chemotherapy and radiotherapy in 1...

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...

The patient is a 59-year-old female with history of hepatitis C, currently on dual therapy with pegylated interferon and ribavirin for last ...

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...

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...

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...

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...

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 ...

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...

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

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 ...

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 ...

A physcian from Florida recently asked how one should approach the following. A younger man from a TB-endemic area with cavitary upper lobe...

Question submitted by anonymous: 24 year old Asian female presented with chronic productive cough of green/yellow sputum for the last year. ...

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

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...

Redneck Crit Care (nice name) submitted this question: One of our CT surgeons has been using Precedex for postop sedation for vent patients ...

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