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

By American College of Chest Physicians

Show description

Read or Download ACCP pulmonary medicine board review PDF

Best internal medicine books

Ditch Medicine

Even if it is a battle area or a civil catastrophe quarter, anxious accidents usually happen in distant, unsanitary destinations. This booklet teaches complicated box strategies for small wound fix, care of the contaminated wound, IV treatment, soreness regulate, amputations, therapy of burns, airway tactics and extra.

Supportive Care for the Renal Patient (Supportive Care)

This publication presents a complete, evidence-based evaluate of supportive take care of the nephrology sufferer. a global team of members emphasize the continuum of palliative care from the time of analysis via to end-of-life care and the problems surrounding withdrawal of dialysis. The e-book addresses the mental impression of the disorder, the significance of regarding the sufferer in making judgements approximately their care, moral issues, the position of the kin and the multidisciplinary workforce.

Clinical Nephrotoxins: Renal Injury from Drugs and Chemicals

Scientific Nephrotoxins: Renal damage from medicinal drugs and chemical compounds, 3rd variation is a entire textual content on all facets of inauspicious results via medicinal drugs, chemical compounds and radiation at the kidneys. the significance of the toxicity of gear and different components for the kidneys is more and more famous. The e-book includes issues akin to medical relevance, renal dealing with and mobile mechanisms of nephrotoxicity, in addition to animal and mobilephone tradition versions.

Human Factors in the Healthcare Setting: A Pocket Guide for Clinical Instructors

This e-book is a pragmatic consultant for overall healthiness care pros educating human elements as a method of bettering defense in practices, groups and agencies. via elevating understanding of the deeper realizing of the human components which give a contribution to errors, it appears to be like at how one can hinder, steer clear of or minimise those components.

Additional info for ACCP pulmonary medicine board review

Example text

Thrombolytic therapy is currently recommended for patients with acute PE who show signs of hemodynamic instability, unless there are major contraindications related to the bleeding risk. Inferior Vena Cava Interruption Inferior vena cava interruption is most commonly achieved with the use of an intravascular filter. A randomized trial found that the use of an inferior vena cava filter reduced the rate of PE, had no effect on mortality, and was associated with a greater risk of recurrent DVT. These devices are being used more frequently, especially now that many can be safely retrieved after several months.

Therefore, patients presenting with suspected DVT should first have the pretest probability of disease determined. The Wells clinical prediction rule (Table 1) has been assessed and validated in multiple studies, and it can accurately categorize patients into low, moderate, or high probability of having the disease. Obtaining a d-dimer level at this point in the evaluation further simplifies the approach and may obviate the need for further testing. Sensitive d-dimer assays (ie, enzyme-linked immunosorbent assay [ELISA] or semiquantitative rapid ELISA) have sufficient Table 1.

8th ed. Chest 2008; 133:454Sāˆ’545S. Comprehensive evidence-based literature review and graded recommendations on treatment of DVT and PE. Kearon C, Ginsberg JS, Hirsh J. The role of venous ultrasonography in the diagnosis of suspected deep venous thrombosis and pulmonary embolism. Ann Intern Med 1998; 129:1044āˆ’1049 Pulmonary Vascular Diseases (Moores) 7/10/09 8:03:55 PM Venous ultrasonography is a valuable test for the diagnosis and management of patients with suspected DVT or PE. However, the following factors reduce the positive predictive value of venous ultrasonography for detecting acute thromboembolism: asymptomatic for DVT, low clinical suspicion for DVT, abnormality confined to a short segment of a proximal vein, abnormality confined to the calf veins; history of VTE, negative result of another test that is sensitive for DVT (such as d-dimer), and low prevalence of DVT in a referral population.

Download PDF sample

Rated 4.52 of 5 – based on 9 votes