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Internal Medicine Essentials for Students

Pulmonary Section

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Interpretation of Pulmonary Function Tests (Chapter 80)

Patient Instructions for Performing Pulmonary Function Tests – Review typical instructions for patients undergoing pulmonary function testing.

Pulmonary Function Testing Equipment – View a typical pulmonary function testing apparatus, including a chamber for performing body plethysmography.

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Approach to Dyspnea (Chapter 81)

Test Characteristics – View a table of test characteristics for the diagnosis of heart failure.

Tension Pneumothorax – View a chest x-ray showing a tension pneumothorax.

Heart Failure – View a chest x-ray showing heart failure.

Pulmonary Fibrosis – View a high resolution CT scan showing pulmonary fibrosis.

Emphysema – View a high resolution CT scan showing emphysema.

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Pleural Effusion (Chapter 82)

Pleural Effusions – View this table of causes of transudative and exudative effusions.

Diagnoses – View this table of diagnoses that can be definitively established by pleural fluid analysis.

Laboratory Tests – View this table of the test characteristics of laboratory tests used to diagnose an exudate.

Thoracentesis - View the patient position for a thoracentesis.

Thoracentesis – View a patient undergoing a thoracentesis.

Left Pneumothorax – View an x-ray of a pneumothorax.

Pneumothorax – View a hydropneumothorax.

Trapped Lung – View an x-ray of a trapped lung.

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Asthma (Chapter 83)

Normal Flow Volume Loop – View a normal flow volume loop.

Asthma Flow Volume Loop - View a flow volume loop from an asthmatic patient.

Therapy – View this table of drugs used to treat asthma.

Inhaler Instructions - View this chart to help patients use their inhaler.

Occupational Asthma Algorithm – View this algorithm to help assess occupational asthma.

Occupational Asthma Symptoms – View this table for symptom patterns and exposures associated with occupational asthma.

Asthma Action Plan – View this chart showing an asthma self-management action plan.

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Chronic Obstructive Pulmonary Disease (Chapter 84)

Normal Flow Volume Loop – View a normal flow volume loop.

COPD Flow Volume Loop - View a flow volume loop from a patient with COPD.

CT Scan - View a CT scan of a patient with COPD.

Multifocal Atrial Tachycardia - View an ECG of multifocal atrial tachycardia.

Inhaler Instructions - Review this chart to help teach patients how to use their inhaler.

Drug Treatment - Review a table of drugs used in the treatment of COPD.

BODE Index – Review information on the BODE Index[PDF] for assessing clinical risk in patients with COPD

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Obstructive Sleep Apnea (Chapter 85)

History and Physical Examination Elements for Obstructive Sleep Apnea - Review a detailed list of history and physical examination findings useful in the diagnosis of obstructive sleep apnea.

Epworth Sleepiness Scale - A questionnaire[PDF] for detecting excessive sleepiness suggestive of a sleep disorder

Polysomnogram - View a polysomnogram tracing of obstructive apnea.

Sleep Apnea Video - View a video on the mechanics of obstructive sleep apnea.

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Infiltrative and Fibrotic Lung Disease (Chapter 86)

Interstitial Lung Disease – View a chest x-ray showing interstitial lung disease.

Hilar Lymphadenopathy - View an x-ray showing sarcoidosis.

Differential Diagnosis – Review a table showing an extensive differential diagnosis for interstitial and fibrotic lung diseases.

Clubbing – View an example of clubbing.

Sarcoidosis Staging – Review a staging system for sarcoidosis and associated prognosis.

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Venous Thromboembolism (Chapter 87)

Spiral CT – View a pulmonary embolism as detected by a spiral CT scan.

Ventilation/Perfusion Scintigraphy – View a perfusion-ventilation lung scan.

Pulmonary Angiogram – View a pulmonary angiogram.

Diagnosis algorithm for CT Angiography – View an algorithm to assist in the diagnosis of pulmonary embolism with CT angiography.