Pulmonology

General Hospital Medicine

Questions discussed in this category

How do you approach caring for patients admitted with decompensated CHF, but who also exhibit hypotension and do not have overt signs of hypervolemia on exam?

For example, do you consider "cautious" IV fluids or otherwise consider early vasopressors?

4 Answers available

Should long-acting subcutaneous insulin be started upfront in addition to regular insulin infusion for patients with diabetic ketoacidosis?

1 Answer available

Under what circumstances do you recommend POCUS guidance for lumbar puncture?

2 Answers available

What do you think about using conventional thoracic imaging methods (e.g., X-ray, CT, etc.) to determine if a pleural effusion is of adequate size to consider thoracentesis?

3 Answers available

What is your preferred laboratory test to assess treatment response or infection resolution in patients with bacterial pneumonia?

For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?

1 Answer available

How do you decide whether to use lung POCUS versus CT as the next step when a chest X-ray is equivocal for pneumonia?

3 Answers available

How do you recommend incorporating B-lines on lung POCUS as part of evaluating a patient's volume status?

In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...

1 Answer available

How do you use cardiac POCUS to potentially defer formal echocardiogram in patients presenting with an acute pulmonary embolism?

1 Answer available

Papers discussed in this category

Critical care medicine, 2017-12

Diagnostic Accuracy of Point-of-Care Ultrasound Performed by Pulmonary Critical Care Physicians for Right Ventricle Assessment in Patients With Acute Pulmonary Embolism.

Annals of emergency medicine, 2006-01

Prevalence of negative chest radiography results in the emergency department patient with decompensated heart failure.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2019-01

Ultrasound-assisted Lumbar Punctures: A Systematic Review and Meta-Analysis.

Neurology. Clinical practice, 2020 Aug

Ultrasound-guided lumbar puncture improves success rate and efficiency in overweight patients.

Cureus, 2020 Nov 18

Feel It, See It, Get It: Is Internal Medicine Residents' Use of Ultrasound in Lumbar Puncture Associated With Higher Success Rate?

Journal of the American College of Radiology : JACR, 2024 Jun

ACR Appropriateness Criteria® Workup of Pleural Effusion or Pleural Disease.

AJR. American journal of roentgenology, 2010-02

Differentiation of pleural effusions from parenchymal opacities: accuracy of bedside chest radiography.

Journal of cardiac failure, 2021 Oct

Heart Failure-Related Cardiogenic Shock: Pathophysiology, Evaluation and Management Considerations: Review of Heart Failure-Related Cardiogenic Shock.

JAMA, 1989 Feb 10

The limited reliability of physical signs for estimating hemodynamics in chronic heart failure.

Pulmonology

General Hospital Medicine

Questions discussed in this category

Papers discussed in this category

Related Topics in Pulmonology