Immediately from the ACCP Pulmonary drugs Board assessment 2009 path, this article covers each subject in a concise, easy-to-use structure. Use as a self-study source to organize for the pulmonary medication subspecialty board exam.
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Extra info for ACCP Pulmonary Medicine Board Review: 25th Edition
The majority of calf thrombi resolve spontaneously, and PE is uncommon. Approximately 20 to 30% of DVTs propagate to the popliteal, femoral, or iliac veins. An additional 10 to 20% of all DVTs occur in proximal veins without previous calf involvement. Iliofemoral thromboses appear to be the source of most clinically apparent PEs. The occurrence of DVT can be self-limited, with resolution of the clot in most cases; can embolize resulting in PE; and/or the postthrombotic The clinical diagnosis of DVT of the lower extremity is insensitive and nonspecific, with DVT rates ranging from 10 to 25% of those suspected of having the disease.
Martinez R, Reyes S, Menendez R. Pulmonary nocardiosis: risk factors, clinical features, diagnosis and prognosis. Curr Opin Pulm Med 2008; 14:219–227 17 Most current, comprehensive clinical review of pulmonary nocardiosis (including expanded sections on newer diagnostic techniques and new therapeutic options). McGeinness G, Naidich DP. CT of airways disease and bronchiectasis. Radiol Clin North Am 2002; 40:1–19 This article discusses HRCT findings associated with medium-sized and small airways diseases, focusing on bronchiectasis of both infectious and noninfectious causes.
The incidence of cancer is slightly increased in a first episode of DVT (11% vs 9%, respectively) or PE (6% vs 5%, respectively) compared with control subjects. Cancers of the pancreas, liver, ovary, and 21 brain, and metastatic disease account for most of these. This hypercoagulability relates to the effects of tumor cells on thrombin generation and fibrinolysis, as well as to tumor-derived activators of factor X. Because these tumors are most commonly incurable, an exhaustive evaluation for underlying malignancy, apart from routinely obtaining a medical history and conducting a physical examination, is not recommended.