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Volume 329:509-510 August 12, 1993 Number 7
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Clinical Problem-Solving: Too Old for What?

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 by Thibault, G. E.
To the Editor: In the Clinical Problem-Solving feature (April 1 issue),1 an 87-year-old woman with no known heart or pulmonary disease went to see her physician because she was short of breath. The article does not address the inappropriate treatment for asthma that the patient was given early in her clinical evaluation -- theophylline (Theo-Dur), erythromycin, and bed rest.

There are at least two reasons not to institute asthma therapy with a theophylline preparation and erythromycin. First, as outlined in the National Asthma Expert Panel Report, inhaled beta2-agonists should be the initial treatment for episodic asthma2. Second, even . . . [Full Text of this Article]

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