Pulmonology
- Mediastinal granuloma due to histoplasmosis in a patient on infliximab
Immunosuppressive drugs can predispose to invasive fungal infection.
- Thinker’s sign
In a patient with orthopnea, pressure of the elbows on the thighs can cause hyperpigmentation and skin thickening.
- If a picture is worth a thousand words, a patient is worth ten thousand
Images portray real patients with stories to tell, sometimes mundane, sometimes profound, but always worth hearing.
- Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.
- Complete blood cell count March 2019
A reader comments about use of the red blood cell distribution width in the complete blood cell count (March 2019).
- Disseminated invasive aspergillosis in an immunocompetent patient
The patient, who has COPD, will require lifelong antifungal treatment.
- Is chest radiography routinely needed after thoracentesis?
No, it should be done only in certain situations, for example, if pneumothorax is suspected.
- A sleeping beast: Obstructive sleep apnea and stroke
Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.