Pulmonology

The risk of new-onset obstructive sleep apnea appears to be greater in persons who have asthma. Treating one may help the other.

Long-acting beta-agonists offer benefits in COPD. Not true for inhaled corticosteroids for most, it turns out.

What flu vaccine should you recommend this year for children over age 2? A look at the data . . .

Drugs, diseases, guidelines, databases-all at the touch of an app. Here: a selection of smartphone/tablet applications that may make your clinical practice a little easier this coming year.

The enterovirus story continues to evolve: here are 6 things clinicians need to know now.

When you want to distinguish between asbestosis and silicosis, what imaging finding is inconsistent with the former disease?

Nail clubbing may occur with many conditions. In these two patients, it heralded lung cancer.

Drug-induced hypersensitivity pneumonitis, drug-induced organizing pneumonia, radiation-induced lung injury, allergic fungal rhinosinusitis, pulmonary tuberculosis, empyema-this week’s slide show sheds light on several presentations.

Pulmonary edema, tracheal stenosis, pulmonary embolism, pulmonary sarcoidosis, respiratory bronchiolitis interstitial lung disease, giant bullous emphysema-a close look at a variety of troublesome lung conditions.

Recovery from a hemopneumothorax had progressed well for this 29-year-old man until today when he presents to the ED with dyspnea and pleuritic chest pain. What do you see on the chest x-ray?

Persistent symptoms of hemothorax or pneumothorax, in the absence of new x-ray findings require further inquiry, including chest CT, to rule out PE.

A new study shows that the risk of chronic obstructive pulmonary disease increases with obesity. Yet, the risk was increased in underweight persons as well.

This week’s quiz questions challenge you to determine the cause of an infant’s “strange breathing” based on a chest film, to come up with the most common cause of chronic cough in children, to be a dermatologic detective, among other things.

Worsening respiratory symptoms and fatigue of 6 months’ duration brought a 44-year-old woman in for evaluation. Diagnosed with asthma 2 years earlier, she was compliant with, but unresponsive to treatment. Your impressions?

The symptoms have worsened over a 2-month period. Past medical history is unremarkable. Here, review the ED chest x-ray film and ECG. Do you see any clues to a diagnosis?

They breathe in more air than do normal-weight persons, exposing them to more air pollutants and making them more vulnerable to asthma and other pulmonary diseases.

The patient presents 6 weeks after a prolonged hospitalization for pancreatitis. More details and the office spirometry tracing here.

In the news: respiratory disease underdiagnosed, Alzheimer biomarkers, Crohn disease microbiome, migraine device, sleep apnea and diabetes.

A simple way to prevent asthma or treat wheezing may be to eat flaxseed or take some kind of probiotic.

Several related health concerns-including asthma, pericarditis, and pneumonia-are treatable within the primary care office.

Re-expansion pulmonary edema is noncardiogenic and follows re-expansion of the lung after thoracentesis is performed for large amounts of pleural effusion or for pneumothorax.

A young woman experienced acute onset of high fever, productive cough, and right-sided pleuritic pain. She was not in sickle cell crisis. Do the images here shed light on cause of symptoms?

A link was found between low vitamin A levels and the incidence of diarrhea with vomiting and cough with fever.

Obesity/respiratory infections; lung disease/cognitive function; Q&A/alcohol dependence. Why are these pairs linked? Get 3 answers plus 2 more questions in this week’s quiz, here.

Persons who are obese are at increased risk for catching the flu and other potentially serious respiratory diseases.

Obstructive lung disease may be linked with problems with memory and information processing. The more diminished the airflow, the greater the impairment.

The first confirmed case in North America this year has led the CDC to issue a health advisory reminding physicians about the symptoms and treatment.