Internal Medicine Grand Rounds-16462-------10/29/2013, Stanton Gerber Hall
'Factitious Asthma, All that Glitters is not Gold', Ryan Waddell, D.O.
Dr. Waddell reports there is NOT any relevant financial interest/arrangement of affiliation with one or more organizations which could be perceived as a real or apparent
COI in the context of this presentation. This Continuing Medical Education activity has not received support from any commercial source.
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Identify a differential diagnosis for wheezing          
Identify appropriate work up and testing for wheezing          
Utilize flow volume loop to diagnose reasons for wheezing          
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Based on what you heard today:
Which physician attributes (core competencies) did the speaker incorporate into their presentation? Please choose all which apply:
Patient Care
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A 27 year old man evaluated for 6 month history of cough, which is worse at night and after exposre to cold air. Cough is brought on by taking a deep breath or laughter. CXR, spirometry and
exam are normal. He has no benefit from 3 months of PPI therapy, intranasal steroids and an antihistamine-decongestant combination. Which of the following would likely provide the diagnosis?
A). 24 hour esophageal pH monitoring--- B). Bronchoscopy--- C). CT scan of the chest--- D). CT scan of his sinuses--- E). Trial of inhaled albuterol
Correct answer is: E          
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If you have questions, concerns, or comments about this activity, please contact: Barbara Sucher, M.B.A., Associate Dean for CME or 423.439.8081. Form Revised 4-2013