Section of Pulmonary Medicine
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)
DYSPNEA (SHORTNESS OF BREATH)
BLODY SPUTUM (PRODUCTION)
Symptoms related to whole body (systemic symptoms) might associate with the respiratory symptoms (shown below)
MAIN SYSTEMIC SYMPTOMS
LOSS OF APPETITE
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
-Chronic obstructive lung disease (COPD)
-Pulmonary tuberculosis, Pleural tuberculosis, Lymph node tuberculosis
-Interstitial lung diseases
Idiopathic pulmonary fibrosis (IPF) and other idiopathic interstitial pneumonias
Pulmonary involvement of connective tissue disorders and or vasculitis
Drug related interstitial lung diseases
Rare interstitial lung diseases
Alveolar hemorrhage syndromes
Cystic lung disease
Eosinophilic lung diseases
Other rare interstitial lung diseases
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
Interstitial lung diseases
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.