Chest Diseases

Section of Pulmonary Medicinechest_lungs

What are the symptoms of the patients evaluated in the section of pulmonary medicine?

The patients having one or more of the respiratory symptoms are evaluated in the section of pulmonary medicine (shown below)

RESPIRATORY SYMPTOMS;

COUGH

DYSPNEA (SHORTNESS OF BREATH)

SPUTUM (PRODUCTION)

BLODY SPUTUM (PRODUCTION)

CHEST PAIN

Symptoms related to whole body (systemic symptoms) might associate with the respiratory symptoms (shown below)

MAIN SYSTEMIC SYMPTOMS

FEVER

EASY FATIGABILITY

LASSITUDE

LOSS OF APPETITE

WEIGHT LOSS

NIGHT SWEATS

Furthermore, patients having one or more systemic symptoms such as fever, easy fatigability, lassitude, loss of appetite, weight loss, night sweats but with less prominent respiratory symptoms are also evaluated in the section of pulmonary medicine. Even though this group of patients has respiratory symptoms, the systemic symptoms are far more prominent. Atypical pneumonias, tuberculosis and some forms of sarcoidosis could be the examples of these kinds of diseases.

Mainly which diseases are diagnosed in the section of pulmonary medicine?

The following diseases below are usually diagnosed in the section of pulmonary medicine

-Upper airway infection

-Acute bronchitis

-Pneumonia

-Bronchial asthma

-Chronic obstructive lung disease (COPD)

Emphysema-Chronic bronchitis

-Lung cancers

-Pleural diseases

-Pulmonary thromboembolism

-Pulmonary tuberculosis, Pleural tuberculosis, Lymph node tuberculosis

-Bronchiectasis

-Interstitial lung diseases

Sarcoidosis

Idiopathic pulmonary fibrosis (IPF) and other idiopathic interstitial pneumonias

Pulmonary involvement of connective tissue disorders and or vasculitis

Pneumoconiosis

Drug related interstitial lung diseases

Rare interstitial lung diseases

Alveolar hemorrhage syndromes

Cystic lung disease

Eosinophilic lung diseases

Other rare interstitial lung diseases

Pulmonary hypertension

Cystic fibrosis

Parasitic infestations involving the lung

– Sleep Related Breathing Disorders

Obstructive sleep apnea syndrome

Central sleep apnea syndrome

What is the diagnostic approach for the patients evaluated in the section of pulmonary medicine?

Patients are firstly evaluated according to their symptoms, medical histories and physical examinations. Later the required laboratory tests are done.

A chest-x-ray is usually obtained from almost all patients admitted to the section of pulmonary medicine

Pulmonary function tests are ordered for the patients having shortness of breath

Computed tomography (CT) of the chest or CT of the lungs are ordered for the patients suspected of having mainly

Lung cancer

Pulmonary thromboembolism

Interstitial lung diseases

Bronchiectasis

Fiber optic bronchoscopy is indicated for the patients having bloody sputum, chronic cough, lung tumors, interstitial lung diseases etc.

Sleep apnea syndrome characterized by the symptoms such as snoring, witnessed apnea during sleep and excessive daytime sleepiness and other sleep related breathing disorders are diagnosed with polysomnography.