Category Archives: Respiratory

Flozins and COPD inhalers

That’s two separate subjects, not one, whose link here is that they were both the topics of useful papers in this week’s BMJ. The first was on possible adverse effects of flozins (sodium-glucose cotransporter-2 inhibitors). The paper was a very … Continue reading

Posted in BMJ, COPD, Credits 2018, Diabetes, Endocrinology, Medication, Respiratory | Leave a comment

Idiopathic pulmonary fibrosis

Quick refresher in May’s BJGP: Interstitial lung disease, characterised by progressive scarring of the lungs Typically presents in 6th or 7th decade Presents with persistent progressive breathlessness, with or without cough Signs include finger clubbing and velcro crackles – not … Continue reading

Posted in Credits 2018, Respiratory | Leave a comment

Community-acquired pneumonia; a couple of points

So, I was reading an article on CRP in the March 2018 BJGP, and a couple of interesting things came up. The most important one is that I’m out of date on my CRP thresholds. I was still using the … Continue reading

Posted in Credits 2018, Infectious Diseases, Respiratory | Leave a comment

Noisy breathing in newborns

Periodic increases/decreases in breathing sounds are normal in babies. Wheeze: Can be infection (mild or serious) or heart failure. Check for signs of heart problems; murmur, absent femorals, etc. Check sats. Normal sats and normal feeding are reassuring. If any … Continue reading

Posted in Paediatrics, Respiratory | Leave a comment

COPD algorithm

This is our practice algorithm for COPD treatment: Treat intermittent symptoms with a SABA. If more severe, differentiate between low-risk and high-risk patients. Low-risk patients are those with: FEV1 >50% <2 exacerbations/yr For low-risk patients: First-line treatment: LAMA If symptoms … Continue reading

Posted in COPD, Credits 2017, Medication, Respiratory | Leave a comment

Community acquired pneumonia in children

Signs of severity Temperature 38.5 or greater RR >70 in infants or >50 in older children Moderate to severe recession in infants Severe dyspnoea in children Nasal flaring Grunting Intermittent apnoea in infants Sats <95% (this was what the BMJ … Continue reading

Posted in Credits 2017, Paediatrics, Respiratory | Leave a comment

Exercise-induced laryngeal obstruction

The cause of EILO is unclear, but it may be due to laryngeal hypersensitivity. It’s most common in athletic females under 20. Symptoms include shortness of breath, throat discomfort, chest tightness, and wheeze developing during intense exercise. EILO, for obvious … Continue reading

Posted in Credits 2016, ENT, Respiratory | Leave a comment