General Internal Medicine

General Pulmonary

Questions discussed in this category

How do you determine the severity of restrictive lung disease?

How do you manage anticoagulation/antiplatelet therapies with strong indications for uninterrupted therapy in setting of urgent procedures?

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

4 Answers available

How do you counsel patients who are concerned that discontinuation of certain chronic medications may actually perpetuate suffering at the end of life?

Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...

1 Answer available

How do you approach patients who identify so strongly with being sick or with a particular diagnostic label that it makes up a significant portion of their identity?

2 Answers available

Do you hold anticoagulation prior to performing bronchoalveolar lavage?

1 Answer available

Is methacholine challenge on its way out?

1 Answer available

What is the duration of steroids that you prescribe for organizing pneumonia?

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

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

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

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 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