Pulmonology

General Primary Care

Questions discussed in this category

What pharmacologic and non-pharmacologic strategies have you found helpful in managing brain fog following COVID-19 infection?

2 Answers available

In light of recent measles outbreaks in the US, would you recommend an MMR booster for immunocompetent patients born before 1957?

6 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?

4 Answers available

Do you have any pearls for how to manage OSA with CPAP in older adults with cognitive impairment?

1 Answer available

How do you consider sending fungal studies in a patient with pneumonia?

Considering the recent article in CHEST that describes the increasing incidence of fungal pneumonia Azar. Chest 2024

3 Answers available

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 ...

6 Answers available

Would you continue or stop anticoagulation for a DVT/PE in a patient with active cancer who has completed 6 months of therapy?

Mahé et al., PMID 40162636

3 Answers available

How do you decide when to use acid-suppressive medications for GI prophylaxis when patients are on prolonged corticosteroid therapy?

Do you prescribe it universally or based on specific risk factors?

2 Answers available

How do you counsel older adults regarding the use, dosing, and safety of CBD-containing products for insomnia?

1 Answer available

How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?

7 Answers available

What medications are preferred and contraindicated for insomnia in patients with a recent stroke or traumatic brain injury?

2 Answers available

When would you consider prescribing a wakefulness promoting agent for excessive daytime sleepiness from insufficient sleep?

I.e. no sleep disorder diagnosis, unsuccessful behavioral interventions for improved sleep

4 Answers available

Would you biopsy calcified lung nodules and or lymphadenopathy that have shown stability over a 2-year period, in a bid to rule out sarcoidosis?

1 Answer available

Do you recommend that your patients with COPD avoid gabapentin or pregabalin entirely, given the increased rate of exacerbations noted in patients on these medications?

Rahman et al., PMID 38224592

1 Answer available

What is your preferred first-line treatment for chronic fatigue in patients with long COVID-19?

9 Answers available

When do you recommend limited or targeted respiratory pathogen testing versus a full respiratory pathogen panel in a patient presenting with URI symptoms?

In other words, are there benefits to identifying URI pathogens that do not necessarily have targeted therapies (e.g., rhinovirus, non-COVID-19 Corona...

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?

3 Answers available

How do you decide the maximum amount of volume to remove during a therapeutic thoracentesis?

Do you use the traditional strict limit of 1.5 L, or do you consider removing more volume if a patient appears to tolerate it?

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

What duration of antibiotic therapy do you use for a loculated parapneumonic effusion that does not meet criteria for empyema?

6 Answers available