Pulmonology

The length of time on invasive mechanical ventilation (IMV) increases the potential for numerous severe and even life-threatening complications, such as volutrauma, barotrauma, infection, damage to vocal...

A 22-year-old man presented to our emergency department with a 6-day history of intermittent fever, shortness of breath, cough, diarrhea, and chills. He had gone to a bar with friends who were visiting from...

A 60-year-old man with no significant medical history presented to the emergency department (ED) with a 5-week history of fevers and chills associated with night sweats, decreased appetite, and a 0.9-kg...

Approximately 2.5% of adrenal masses represent metastatic disease, and 5% are adrenocortical carcinoma (ACC). Given the poor prognosis associated with ACC, early diagnosis and curative resection are...

The family of an 88-year-old man brought him to the office out of concern for changes in his status.

Obesity hypoventilation syndrome (OHS) is a potentially unrecognized complication of obesity that carries a significant health care burden and worrisome morbidity and mortality rates. OHS appears to be a...

Sarcoidosis will remain a diagnostic challenge in the 21st century by virtue of its protean manifestations and presentations. The difficulties in ascertaining a correct diagnosis have posed a clinical...

Prednisone is a prodrug. Prednisone is a glucocorticoid. Prednisone is a mineralocorticoid. But is prednisone a poison? What have patients taught us about prednisone?

A 62-year-old man with metastatic prostate cancer, congestive heart failure, and chronic obstructive pulmonary disease presented to an outside emergency department with right-sided chest pain and dyspnea. ...

A 47-year-old man presented to the emergency department with 5 days of intermittent dizziness and fatigue. He described the sensation as if the room were spinning while he was standing.