Vinnitsa national medical university of N.I.Pirogova

 

"IS CONFIRMED"

At methodical meeting of chair

Internal medicine №1

                                                                   Head of the department               

____________ prof. Stanislavchuk M. A.

«______» _______________ 200 ___

 

METHODICAL RECOMMENDATIONS

For students

Subject matter	Foundation of Internal medicine
Module №	1
Substantial module №	2
Subject of the lesson	Symptoms and syndromes in pulmonology
Course	4
Faculty	Medical № 1

 

 

Vinnytsya 2012

 

1. The subject of the lesson: SYMPTOMS AND SYNDROMES IN PULMONOLOGY

Study-hours: 4

The aim: The students must be able to find symptoms of lung disease, group them into syndromes, using additional methods of examination, make diagnosis.

Educational goal:  

1. Know the basic symptoms of respiratory diseases, the mechanisms of their development and causes.

2. Learn to group symptoms of diseases of the respiratory system in syndromes.

3. Understand which additional research methods can help to differentiate syndromes and to determine their origin.

4. Make the plan of additional investigation of the patient and analyze their results.

5. Using the results of additional research methods to make diagnose.

The student must know:

1. The main symptoms and syndromes that occur in the pathology of the respiratory system.

2. Pathogenetic ways of development main syndromes.
3. Modern classification and basic characteristics of the respiratory system disease syndrome.
4. Laboratory and instrumental methods used to differentiate the origin of syndromes and make diagnosis.

5. The main approaches to the treatment of respiratory diseases.

The student must be able:

1. Select the symptoms that occur in the pathology of the respiratory tract and group them into syndromes in collecting history, complaints and objectively examined.

2. To make the scheme of investigation.

3. Be able to interpret the results of the results of additional research methods

4. Formulate a diagnosis according to the current classification of disease and make treatment plan.

2. Basic level of training

№п/п	The names of previous courses	The obtained skills
1.	Normal anatomy	To know the anatomical structure of the organs of respiratory system, their topography, blood supply and innervation.
2.	Histology	Aware of the cellular structure of the organs of respiratory system.
3.	Biochemistry	To have an understanding of the mechanisms of gas exchange through the alveolar-capillary membrane, the biochemical structure of the surfactant and the importance of its structure for performing functions; the biochemical composition of bronchial mucus.
4.	Normal physiology	To know the basic functions of respiratory tract; have an idea about the process of gas exchange, how respiratory system take part in the elimination of metabolic products, in thermoregulation, in maintaining acid-base balance; know neuro-hormonal mechanisms of regulation of respiration. Understand the importance of protective elements of respiratory system - mucocilliar clearance, surfactant, immune mechanisms (alveolar macrophages, neutrophils, lymphocytes, immunoglobulins, complement system, lysozyme, lactoferrin).
5.	Physiopathology	Know about the pathogenic mechanisms of various disorders of the respiratory tract: cough, shortness of breath, respiratory discomfort, chest pain, haemoptysis. Know about the pathogenic mechanisms of obstructive and restrictive disorders of ventilator functions of lung.
6.	Pharmacology	To know the mechanism of action, indications and contraindications of medicines, which is used in treating of respiratory system diseases and be able to write them in the form of recipes.
8.	Propaedeutic therapy	Demonstrate skills in examination of patients with respiratory system diseases (collecting complaints, history of disease and life, doing an objective examination, analyzing the results diagnostic testing (chest X-ray, CTscan, functional tests, CBC, general analysis of sputum).