Pulmonology

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • Influenza update 2018–2019: 100 years after the great pandemic
    Influenza update 2018–2019: 100 years after the great pandemic
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 861-869; DOI: https://doi.org/10.3949/ccjm.85a.18095

    A centennial year update on immunization, epidemiology, transmission, and treatment of influenza.

  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Which patients with a parapneumonic effusion need a chest tube?
    Scott A. Helgeson, MD, Brett T. Hiroto, MD, Scott J. Billings, MD, Courtney L. Scott, DO and Michele D. Lewis, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 609-611; DOI: https://doi.org/10.3949/ccjm.85a.17036

    Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.

  • ‘Dry drowning’ and other myths
    David Szpilman, MD, Justin Sempsrott, MD, Jonathon Webber, RN, Seth C. Hawkins, MD, Roberto Barcala-Furelos, PhD, Andrew Schmidt, DO, MPH and Ana Catarina Queiroga, PhD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 529-535; DOI: https://doi.org/10.3949/ccjm.85a.17070

    Drowning is a common and often preventable cause of death, especially in children. But dry drowning is a myth.

  • Evaluating suspected pulmonary hypertension: A structured approach
    Akshay Bhatnagar, MD, Jonathan Wiesen, MD, Raed Dweik, MD and Neal F. Chaisson, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 468-480; DOI: https://doi.org/10.3949/ccjm.85a.17065

    With a myriad of causes and nonspecifi c symptoms, pulmonary hypertension needs a methodic diagnostic approach.

  • Idiopathic pulmonary fibrosis: What primary care physicians need to know
    Leslie B. Tolle, MD, Brian D. Southern, MD, Daniel A. Culver, DO and Jeffrey C. Horowitz, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 377-386; DOI: https://doi.org/10.3949/ccjm.85a.17018

    This devastating and fatal lung disease generally affects older adults, especially men, and can be mistaken for COPD.

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