Internal Medicine Essentials for Clerkship Students

Pulmonary Section

Dyspnea (Chapter 74)

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.

Pleural Effusion (Chapter 75)

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.

Asthma (Chapter 76)

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

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

Fixed Obstruction Flow Volume Loop – View a flow volume loop from a patient with a fixed airway obstruction.

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.

Chronic Obstructive Pulmonary Disease (Chapter 77)

COPD Staging – Review the spirometric staging of COPD severity.

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

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

Fixed Obstruction Flow Volume Loop - View a flow volume loop from a patient with a fixed airway obstruction.

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.

Precautions - Review a table of precautions when using pharmacologic agents for COPD.

Obstructive Sleep Apnea (Chapter 78)

Polysomnogram - View a polysomnogram tracing of obstructive apnea.

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

Infiltrative and Fibrotic Lung Disease (Chapter 79)

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.

Venous Thromboembolism (Chapter 80)

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

Pulmonary Angiogram – View a pulmonary angiogram.

Diagnosis Algorithm for V/Q Scan – View an algorithm to assist in the diagnosis of pulmonary embolism with ventilation/perfusion scanning.

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

Baker’s Cyst - View a Baker's Cyst.

Crescent Sign – View the crescent sign secondary to a ruptured Baker's cyst.

Interpretation of Pulmonary Function Tests (Chapter 81)

COPD Staging – Review a table of spirometric staging of COPD severity.

Asthma Staging – Review a table of spirometric staging of asthma severity.

Idiopathic Pulmonary Fibrosis – Review a table of the diagnostic criteria for idiopathic pulmonary fibrosis in the absence of a surgical lung biopsy.