Internal Medicine

General Pulmonary

Questions discussed in this category

Do you avoid use of inhalers with milk protein in patients with a milk allergy?

1 Answer available

Is it necessary to prescribe a steroid taper after two weeks of high-dose prednisone (60 mg daily)?

4 Answers available

What are your top takeaways from CHEST 2024?

1 Answer available

What is the minimum daily duration of supplemental oxygen therapy you recommend to patients with chronic hypoxic respiratory failure?

Do findings from the REDOX Trial comparing 24 vs 15 hours of supplemental oxygen influence your approach?

1 Answer available

How do you read a PFT with restrictive type spirometry but normal lung volumes?

What clinical significance does this have and how do you follow these patients?

2 Answers available

How do you decide between oral vs nasal route of entry for bronchoscopy with BAL with moderate sedation?

1 Answer available

How do you determine the severity of restrictive lung disease?

1 Answer available

Do you hold anticoagulation prior to performing bronchoalveolar lavage?

1 Answer available

Is methacholine challenge on its way out?

1 Answer available

Is Metformin contraindicated in patients using long term oxygen therapy at home?

Liang et al., PMID 35900801

1 Answer available

Can transudative pleural effusions lead to trapped lung?

In trapped lung, a fibrous peel over the visceral pleura restricts pleural expansion. Could transudative pleural effusions lead to this condition?

1 Answer available

Do you favor aggressive airway clearance regimens or bronchoscopy for clearing occluding mucous plugs in patients who are not in respiratory distress?

1 Answer available

Do you always comment on VA and KCO when reading PFT's when gas transfer is ordered?

1 Answer available

How do you manage concurrent nonlife-threatening hemoptysis and acute pulmonary embolism?

Estimating blood loss from hemoptysis is not always reliable. The bleeding may be due to the PE itself. Is anticoagulation with any degree of hemoptys...

1 Answer available

How do you manage immunosuppressive medications in patients who develop a pneumonia?

1 Answer available

What therapies do you routinely use to prevent mucus plug formation after endobronchial stent placement?

1 Answer available

How long do you normally wait before considering any bronchoscopic procedure (EBUS-TBNA, Transbronchial biopsy) after an episode of acute PE in a patient needing these procedures?

Normally, waiting 6-12 weeks of therapeutic anticoagulation after an acute PE is suggested for any bronchoscopic procedure, however there is always a ...

1 Answer available

What is your approach to initial work up for a young patient with bronchiectasis?

2 Answers available

Are there preferred home exercise programs for patients without access to pulmonary rehabilitation?

1 Answer available

Is there a role for biologics to help patients with ABPA who are steroid responsive and have removed their allergen insult, but continue to have an elevated serum IgE and incomplete resolution of symptoms return to their baseline functional status?

1 Answer available

Do you routinely use hypertonic saline for pulmonary toileting in patients with non-CF bronchiectasis?

1 Answer available

What are your top takeaways from ATS 2023?

2 Answers available

What is your approach to the monitoring and management of a never-smoker with respiratory symptoms and a nonspecific ventilatory pattern on pulmonary function testing?

1 Answer available

Do you use prednisone in the management of patients with persistent respiratory symptoms following acute COVID-19 infection?

4 Answers available

What is your approach to counseling a patient with exertional hypoxia, but normal resting oxygen saturation, who is hesitant to use supplemental oxygen therapy?

1 Answer available

What are your top takeaways from CHEST 2022?

2 Answers available

Papers discussed in this category

N Engl J Med, 2022 Sep 04

Bronchodilators in Tobacco-Exposed Persons with Symptoms and Preserved Lung Function.

Eur Respir J, 2017 Sep 09

European Respiratory Society guidelines for the management of adult bronchiectasis.

Thorax, 2019 Jan

British Thoracic Society Guideline for bronchiectasis in adults.

JAMA, 2019-10-01

Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure: The CITRIS-ALI Randomized Clinical Trial.

Respirology (Carlton, Vic.), 2018 Jul 16

Pulmonary infarction: A disease of the (mostly) young.

The Journal of allergy and clinical immunology, 2004 Mar

Contamination of dry powder inhalers for asthma with milk proteins containing lactose.

Journal of clinical medicine, 2022 Dec 10

Lactose-Containing Dry-Powder Inhalers for Patients with Cow's Milk Protein Allergy-The Conundrum; A National Survey of Pediatric Pulmonologists and Allergologists.

The European respiratory journal, 2005-11

Interpretative strategies for lung function tests.

The European respiratory journal, 2022 Jul 13

ERS/ATS technical standard on interpretive strategies for routine lung function tests.

Journal of the Endocrine Society, 2022 Dec 02

Perioperative Evaluation and Management of Patients on Glucocorticoids.

Diagnostics (Basel, Switzerland), 2021 Apr 20

Glucocorticoid Withdrawal-An Overview on When and How to Diagnose Adrenal Insufficiency in Clinical Practice.

The New England journal of medicine, 2024 Sep 10

Long-Term Oxygen Therapy for 24 or 15 Hours per Day in Severe Hypoxemia.

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