Pulmonology and Critical Care Cases

Editor: V. Dimov, M.D.

Asthma

When to Use Xolair (Omalizumab) in Asthma?

A female with asthma and allergic rhinitis who is trying to become pregnant: what medication changes may be needed?

Treatment Devices for an Asthma and Allergic Rhinitis Patient with Arthritis and Stroke

A Boy with Moderate Asthma with Poor Response to Therapy. What to Do?

More than a "runny nose" - allergic rhinitis and asthma

Steroid inhaler induced laryngitis

Anaphylactic Reaction to Omalizumab (Xolair) in a Patient with Severe Asthma

Cyclosporine Use in Severe Steroid-dependent Asthma

Vocal cord dysfunction masquerading as "asthma" for 20 years

Asthma exacerbation with carbon dioxide retention

Pneumonia and Effusions

Pneumonia and Metabolic Acidosis in a 35-kilogram Man

Hemoptysis in a Patient with Lingular Pneumonia

Massive Left-Sided Pleural Effusion

Hepatic Hydrothorax – An Uncommon Complication Of Cirrhosis

COPD and Other Chronic Lung Diseases

COPD vs. CHF Exacerbation

Polycythemia due to COPD and Smoking

Early Asbestosis in a Retired Pipe Fitter

Bullous Emphysema

Pneumoconiosis or Sarcoidosis? Or Both?

Non-Functioning Pituitary Adenoma In A Patient With Multiorgan Involvement Sarcoidosis

Amiodarone-Induced Pulmonary Toxicity

OSA, Sleep Study and CPAP settings

Bariatric Surgery Patient After the Roux-En-Y Operation

Acrocyanosis in Pickwickian Syndrome

Pulmonary Embolism

Pulmonary Embolism and Thoracic Aorta Dissection

Hampton Hump in Pulmonary Embolism

Lung Cancer

Lung Cancer - SOB for 2 months and Hemoptysis

Bronchoalveolar Cell Carcinoma

Lung Cancer Presenting with RML Mass

Finger Clubbing due to Lung Cancer

Pneumothorax

Tension Pneumothorax

Pneumothorax after Central Line Placement

Sarcoidosis Patient with Hemoptysis due to Aspergillosis

Pulmonary Coccidiomycosis

Critical Care Medicine

Mechanical Ventilation

ARDS after Full Arrest due to Cocaine

Atelectasis due to Hypoventilation and Mucus Plug

Right lung collapse in a ventilated patient due to mucus plug

Weaning and Extubation Criteria in Septic Shock and Respiratory Failure

Respiratory Alkalosis in a Ventilated Patient, Lines and Tubes on CXR

Complications of Central Line Placement - Pneumothorax, AFib, etc.

Poisoning

Salicylate Toxicity presenting with Weakness and Slurred Speech

Carbon Monoxide Poisoning due to a Suicide Attempt

Lactic Acidosis due to Metformin Overdose - Will she survive?

Respiratory Failure due to Inpatient Treatment with Narcotics for Chronic Pain

Respiratory Depression due to BDZ Overdose in a COPD Patient

Respiratory Failure due to Opioid and Benzodiazepine Overdose

NEJM Images in Clinical Medicine

Reversal of Laryngeal Paresis in non–small-cell lung cancer. NEJM, 12/2007.
Severe Kyphosis. NEJM, 06/2008.
Dynamic Tumor Staging. NEJM, 07/2008.
Allergic Bronchopulmonary Aspergillosis. NEJM, 08/2008.
New-Onset Clubbing Associated with Lung Cancer. NEJM, 09/2008.
What Lies Beneath a Pacemaker? Bronchogenic Adenocarcinoma. NEJM, 10/2008.
Recurrent Aspiration Pneumonia. NEJM, 11/2008.
"Popcorn" Calcifications in a Pulmonary Chondroid Hamartoma. NEJM, 03/2009.
Widened Mediastinum: Mediastinal Extension of a Goiter. NEJM, 03/2009.
Pulmonary Arteriovenous Fistula. NEJM, 04/2009.
Infection 57 Years after Plombage. NEJM, 06/2009.
Plombage Cavities. NEJM, 06/2009.

More Cases

Critical Care Cases by the American Thoracic Society.
Kartagener's syndrome. Clinical Picture, The Lancet, Volume 373, Issue 9679, Page 1973, 6 June 2009.
Is It Asthma or Allergies? An Interactive Case. Medscape, June 5, 2007.
Pulmonary Roundtable.blogspot. Interesting or befuddling cases related to pulmonary medicine.

Test Questions

USMLERx Step 2CK Question #21328
USMLERx Step 2CK Question #23176

Related Reading

Chronic Obstructive Pulmonary Disease (COPD). AllergyCases.org.
Desperate to Cry, Desperate Not To. NYTimes.
APDIM E-Learning Task Force: Cardiac Auscultation, Chest X-Rays, Electrocardiograms, Patient Images (Dermatology), Pulmonary Function Tests, 2009.

Published: 02/14/2005
Updated: 06/05/2009