The Curbsiders Internal Medicine Podcast #437 Clinical Pearls ACP #IM2024
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Apr 29, 2024 Topics covered include angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, new drugs, RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, and antimicrobial resistance.
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Chest Pain Terminology
- Use "possible cardiac chest pain" instead of "atypical angina" for clarity.
- Nitro's relief of chest pain doesn't confirm or deny angina.
COPD-Asthma Overlap
- Consider asthma overlap in COPD patients.
- Optimize inhaled corticosteroids if asthma is present, possibly using exhaled nitric oxide testing.
Home Oxygen in COPD
- Avoid prescribing home oxygen for advanced COPD patients with only exertional hypoxia.
- It doesn't improve quality of life or function.