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ACCP pulmonary medicine board review by American College of Chest Physicians PDF

By American College of Chest Physicians

ISBN-10: 0916609774

ISBN-13: 9780916609771

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Ratjen F. New pulmonary therapies for CF. Curr Opin in Pulm Med 2007; 13:541–546 A very current and concise review of new approaches to the management of CF, including gene therapy, CFTR modulation, manipulation of ion channels, and other antiinflammatory and antiinfective medications. Swensen SJ, Hartman TE, Williams DE. Computed tomographic diagnosis of Mycobacterium avium-intracellulare complex in patients with bronchiectasis. Chest 1994; 105:49–52 A clinical study of 100 patients with bronchiectasis with chest CT scan evidence of MAC infection suggests that the presence of multiple small lung nodules on CT scans is predictive of the presence of MAC on culture.

Initial test for suspected PE compared with the V/Q lung scan because of its greater sensitivity for PE and its ability to identify alternative diagnoses to PE. In addition, the use of CT scanning for the estimation of clot burden and right ventricular function is emerging as a useful prognostic measure in patients with documented acute PE. The use of magnetic resonance angiography for the detection of PE is in the initial testing phases. However, the initial results are promising, especially with gadolinium enhancement of the vasculature.

If pharmacologic treatment fails, surgical (the sixth line) treatment (lung transplantation or atrial septostomy) should be considered. 8 years. Since that time, survival has improved. Patients without evidence of right ventricular failure may survive Ͼ 10 years. Responders to calcium-channel blockers have a 95% 5-year survival rate. Patients in NYHA classes II and IV who have been treated with epoprostenol have a 5-year survival rate that is twice that of matched control patients. Patients with evidence of right heart failure have a much lower survival rate.

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ACCP pulmonary medicine board review by American College of Chest Physicians

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