Pulmonology
Diagnostic value of the physical examination in patients with dyspneaHow accurate are the signs of pneumonia, pleural effusion, COPD, and congestive heart failure?
- When should an indwelling pleural catheter be considered for malignant pleural effusion?
Consider catheter placement if symptoms and effusions recur or if pleurodesis fails.
Do patients with submassive pulmonary embolism benefit from thrombolytic therapy?The risk of hemorrhage is signifi cant, and the benefi t is unclear. A one-treatment-for-all approach cannot be applied.
- Thrombolysis in submassive pulmonary embolism: Finding the balance
In massive pulmonary embolism, thrombolytic therapy is usually indicated; in submassive cases the decision is not so clear.
Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPDKnown cases of this common genetic disease are just the tip of the iceberg.
- When does chest CT require contrast enhancement?
It may be needed in cases of suspected cancer or thoracovascular disease.
- An 85-year-old woman with respiratory failure and positional hypoxemia
Her oxygen saturation was more than 93% when lying down but dropped to less than 85% when she was upright.
Extracorporeal membrane oxygenation in adults: A practical guide for internistsPrinciples, patient selection, monitoring, and complications of this form of life support.
- Phrenic nerve paralysis induced by brachial plexus block
The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.