Showing posts with label Cough. Show all posts
Showing posts with label Cough. Show all posts

Wednesday, October 25, 2006

Treatment of GERD

How do you make a determination to treat for GER in patients with asthma?

There is some data available saying that treatment may reduce exacerbations and improve quality of life...

Littner MR, Leung FW, Ballard ED 2nd, Huang B, Samra NK; Lansoprazole Asthma Study Group.
Effects of 24 weeks of lansoprazole therapy on asthma symptoms, exacerbations, quality of life, and pulmonary function in adult asthmatic patients with acid reflux symptoms.
Chest. 2005 Sep;128(3):1128-35.
PMID: 16162697 [PubMed - indexed for MEDLINE]

Tuesday, September 26, 2006

fluid filled lesion

"Anonymous" sent us the following CT slices of a 38 year old who presented with cough and fever. AFB were negative x 3. He was not very productive of sputum and what they did get had many epithelial cells.
How would you proceed if this was your patient?

Monday, August 28, 2006

35 year old with cough, chills

35 year old without PMhx except a MVA 5 years ago, anxiety and depression. Now with chills and subjective fever and weight loss for the past few months. Meds: Paxil. Fhx: brother died of liver failure, patient does not know etiology. SH denies IVDA. 2 PPD x 20 years. Quit 5 yrs ago. HIV negative. Exam Afebrile. VSS. Some decr breath sounds upper lung zones b/l. WBC 11.


What would you do next?