In developing countries like Indonesia, pulmonary tuberculosis still ranks among the major health problems and the prevalence of laryngeal tuberculosis are therefore still high. It is important for physicians and otolaryngologist to recognize the cardinal sign and symptoms of laryngeal tuberculosis in order to make an early diagnosis. An illustration of four cases with laryngeal tuberculosis is...

Airway obstruction leading to dyspnea/asphyxia can occur in variable conditions which may be either acute or chronic. Chronic causes such as neoplasms, emphysema, pulmonary fibrosis, laryngotracheal scarring and stenosis are usually easy to estimate and diagnose, whereas acute conditions like pulmonary infections, anaphylaxis, asthma or chronic obstructive pulmonary disease (COPD) exacerbations...

Division of Pulmonary and Critical Care Medicine UC Davis School of Medicine Dr. Murin is Associate Professor of Clinical Internal Medicine, Division of Pulmonary and Critical Care Medicine, UC Davis School of Medicine. Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml ). Correspondence t...

The diagnosis or exclusion of pulmonary embolism (PE) remains challenging for emergency physicians. Symptoms can be vague or non-existent, and the clinical presentation shares features with many other common diagnoses. Diagnostic testing is complicated, as biomarkers, like the D-dimer, are frequently false positive, and imaging, like computed tomography pulmonary angiography, carries risks of r...

Transcatheter arterial chemoembolization (TACE) has become an effective alternative treatment strategy for patients with inoperable hepatocellular carcinoma (HCC). Although TACE is relatively safe, pulmonary lipiodol embolism is a rare and potentially fatal complication which is often not anticipated by physicians. About 14 patients with pulmonary lipiodol embolism progressing to respiratory di...

A thirty-six-year-old female, who complained of dry cough symptoms, was treated based on a diagnosis of flu or asthma. However, the cough did not improve. She subsequently developed dyspnea and felled into both a hypoxic state and shock and she was transferred to this department. Electrocardiograms revealed incomplete right bundle block with ST depression on the right precordial leads and a blo...

PURPOSE The authors hypothesize patient facial affect may influence clinician pretest probability (PTP) estimate of cardiopulmonary emergency (CPE) and desire to order a computerized tomographic pulmonary angiogram (CTPA). METHOD This prospective study was conducted at three Indiana University-affiliated hospitals in two parts: collecting videos of patients undergoing CTPA for suspected acute...

We developed a pulmonary graphic display that depicts pulmonary physiological variables for intubated, mechanically ventilated patients in a graphical format. The pulmonary graphical display presents multiple respiratory variables and changes are depicted by alterations in shape and color. Learning how this new technology will be integrated and accepted by users is an important step before it i...