The Exchange

Commentary and Observations from
the Medical Front Lines

Pulmonary Medicine

<a href='/the-exchange/managing-patients-with-suspected-vape-related-lung-problems'>Managing Patients With Suspected Vape-Related Lung Problems</a>

Managing Patients With Suspected Vape-Related Lung Problems

We have been hearing about more and more cases of lipoid pneumonia linked to marijuana oils in e-cigarettes. According to the CDC, as of November 2019, there have been over 2172 cases of e-cigarette, or vaping, product use-associated lung injury (EVALI) and 42 associated deaths. With so many patients coming in complaining of influenza-like symptoms, as healthcare providers we need to always consider EVALI as a possibility. EVALI remains a diagnosis of exclusion because there are no specific tests or markers. Patients may present with complaints of fever, cough, headache, myalgia, fatigue, or respiratory infection. more >

Found in: Infectious Diseases, Public Health, Pulmonary Medicine

<a href='/the-exchange/multi-agency-information-for-patients-and-providers-e-cigarette-or-vaping-product-use-associated-lung-injury-evali-'>Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)</a>

Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

By now, we have all heard the news concerning the dangers of e-cigarettes and vaping and have likely received a myriad of updates in our ever-growing e-mail more >

<a href='/the-exchange/management-of-patients-with-suspected-evali'>Management of Patients with Suspected EVALI</a>

Management of Patients with Suspected EVALI

Over the last several years there has been a dramatic spike in individuals vaping, and we have witnessed the associated injuries—including burns and lung more >

<a href='/the-exchange/procalcitonin-levels-in-the-management-of-copd-exacerbations'>Procalcitonin Levels in the Management of COPD Exacerbations</a>

Procalcitonin Levels in the Management of COPD Exacerbations

The use of procalcitonin-based protocols to guide the decision to administer antibiotics has been evaluated in infections of different origins and settings. A more >

<a href='/the-exchange/anticoagulants-and-recurrent-thrombosis'>Anticoagulants and Recurrent Thrombosis </a>

Anticoagulants and Recurrent Thrombosis

The other day a student asked me, “If a patient is taking a blood thinner for a previous venous thromboembolism (VTE), is it still possible for them to get a more >

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