Chest physicians

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  • Why do thoracic surgeons need training in decision making? Many of us who have weathered harrowing residencies in surgery feel that, after such experiences, decision making is a natural extension of our selves. While this is no doubt true, correct decision making is something that many of us have yet to master. The impetus to develop a text on evidence-based decision making in thoracic surgery was stimulated by a conference for cardiothoracic surgical trainees developed in 2004 and sponsored by the American College of Chest Physicians....

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  • The term thrombophilia describes a range of conditions in which there is an increased tendency, frequently recurrent, for thrombus formation in the venous as well as in the arterial vascular systems. Thrombophilia is caused by inherited or acquired conditions and may cause symptoms related to the place in which the thrombosis occurred, the extent of thrombosis, and whether embolization occurred in other organs.

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  • Ageing tends to be associated with a growing burden of disease and prolonged heavy drinking is itself a cause of health problems such as liver disease, raised blood pressure, and some forms of cancer. Alcohol misuse may also lead to an increased likelihood of falls, incontinence, cognitive impairment, hypothermia and self-neglect. These sorts of problems may be regarded by health professionals and members of the family merely as signs of ageing.

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  • Asthma like symptoms spontaneously go into remission in a substantial proportion of children 5 years and younger. Therefore, the continued need for asthma treatment in this age group should be assessed at least twice a year. Component 4 - Manage Asthma Exacerbations: Exacerbations of asthma (asthma attacks or acute asthma) are episodes of progressive increase in shortness of breath, cough, wheezing, or chest tightness, or some combination of these symptoms. Severe exacerbations are potentially life threatening, and their treatment requires close supervision.

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  • During the last decade, various authors have enumerated the “unusual” manifestations of pulmonary tuberculosis in the adult population [1-6]. These unusual manifestations usually have been implicated in the frequent failure of both radiologist and clinician to recognize that tuberculosis could be the cause of an abnormal chest radiograph in patients who are subsequently, and rather surprisingly, proven to have tuberculosis. As Choyke et al.

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