Medical management of pulmonary diseases / edited by Gerald S. Davis; associate editors, Theodore W. Marcy, Elizabeth A. Seward.

Format:

Book

Contributor:

Davis, Gerald S., 1944-

Seward, Elizabeth A., 1955-

Series:

Clinical guides to medical management

Language:

English

Subjects (All):

Respiratory organs--Diseases.

Respiratory organs.

Lung Diseases--diagnosis.

Lung Diseases--therapy.

Respiratory Physiological Phenomena.

Respiratory System--physiopathology.

Respiratory Tract Infections.

Medical Subjects:

Lung Diseases--diagnosis.

Lung Diseases--therapy.

Respiratory Physiological Phenomena.

Respiratory System--physiopathology.

Respiratory Tract Infections.

Physical Description:

xxvii, 795 pages : illustrations ; 26 cm.

Place of Publication:

New York : Marcel Dekker, [1999]

Contents:

I. The Anatomy and Physiology of the Respiratory Tract

1. Anatomy of the Respiratory System / Theodore W. Marcy, Gerald S. Davis 1

II. Function of the Respiratory System 1

III. Structure-Function Relationships 3

2. Muscles, Nerves, and Central Control of Respiration / James C. Leiter 15

I. Respiratory Muscles and Nerves 15

II. Central Control of Respiration 19

III. Integrated Control 25

3. Principles of Air Movement Into and Out of the Lung / David A. Kaminsky 31

II. Forces Involved in Air Movement 32

III. Air Movement Into the Lung 36

IV. Air Movement Out of the Lung 43

V. Work of Breathing 45

4. Principles of Blood Flow, Gas Exchange, and Oxygen Delivery / Jason Kelley 51

II. Blood Flow 51

III. Gas Exchange 53

IV. Oxygen Transport and Delivery 60

V. Carbon Dioxide Clearance 63

5. Host Defense Mechanisms of the Lung / Herbert Y. Reynolds 65

III. Alveolar Space

Air Exchange Surface 71

IV. Recognition and Characterization of Defects in Host Defense 73

II. Symptoms and Signs of Respiratory Disease

6. The Respiratory System: History / Gerald S. Davis, Theodore W. Marcy 79

I. Symptoms of Respiratory Disease 79

II. Past Medical History, Family History, and Smoking 87

III. Occupational and Environmental Exposure History 88

IV. Medication Use History 90

7. Physical Examination of the Respiratory System and Thorax / Gerald S. Davis, Theodore W. Marcy 93

I. Inspection 93

II. Digital Clubbing 96

III. Palpation 98

IV. Percussion 102

V. Auscultation 103

VI. Cardiovascular Examination for Respiratory Disease 106

VII. Synthesis 108

8. Lung Sounds in Health and Disease / Raymond L.H. Murphy, Jr., Robert G. Loudon 111

I. Classification of Lung Sounds 111

II. The Mechanisms That Produce Lung Sounds 113

III. Acute Respiratory Disorders 117

IV. Chronic Respiratory Disorders 119

V. Observer Variability 120

VI. Computer-Based Analysis 121

III. Common Diagnostic Studies: Principles and Interpretation

9. Pulmonary Function Testing / David A. Kaminsky 123

II. Spirometry 126

III. Lung Volumes 133

IV. Measures of Gas Exchange 136

V. Special Testing 139

VII. Cases 145

10. Principles and Interpretation of the Chest Radiograph / Peter A. Dietrich, Todd Peebles 153

I. Role of the Chest Radiograph in the Evaluation of Patients with Respiratory Symptoms 153

II. Common Radiographic Techniques 153

III. An Approach to Chest Film Interpretation 154

IV. Chest Radiographs in Selected Clinical Situations 160

V. Limitations of the Chest Film 167

11. Computed Tomography / Kevin K. Matsuba, Jeffrey S. Klein 169

I. General Utility of Computed Tomography of the Chest 169

II. Specific Diagnostic Problems 170

12. Bronchoscopy in Diagnosis and Management of Pulmonary Diseases / Michael Unger 199

II. Classification of Bronchoscopy 200

III. Indications for Diagnostic Bronchoscopy 203

IV. Therapeutic Interventional Bronchoscopy 206

V. Complications 208

13. Diagnostic Sampling of Lung Tissues and Cells / Kevin O. Leslie, Louis A. Lanza, Richard A. Helmers, Thomas V. Colby 213

II. Specimens from Bronchoscopy 213

III. Specimens from Transthoracic Needle Biopsy and Aspiration 216

IV. Specimens from Thoracoscopy and Thoracotomy 217

IV. Common Diagnostic and Treatment Dilemmas

14. Dyspnea / Donald A. Mahler, Roberto Mejia 221

II. What Is Dyspnea? What Causes Dyspnea? 221

III. Types of Dyspnea 223

IV. Acute Dyspnea 224

V. Positional Dyspnea 225

VI. Chronic Dyspnea 227

VII. Treatment Strategies 228

15. Management of Cough / Richard S. Irwin, J. Mark Madison 233

II. What Does Cough Mean to the Physician? 233

III. Why Do Patients with Cough Seek Medical Attention So Frequently? 234

IV. What Has Been Learned About the Workup of Chronic, Persistent Cough? 235

V. What Protocols Are Recommended for Evaluating Cough? 237

VI. What Is the Role of Empiric Therapy in Diagnosing the Cause of Chronic Cough? 239

VII. What Has Been Learned About the Treatment of Chronic, Persistent Cough? 242

VIII. What are the Common Pitfalls in Managing Patients with Chronic Cough? 244

16. Chronic Rhinitis and Sinusitis / Sidney S. Braman 247

I. Anatomy and Physiology of the Nose and Paranasal Sinuses 247

II. Symptoms of Rhinitis and Sinusitis 250

III. Epidemiology of Rhinitis and Sinusitis 252

IV. Chronic Rhinitis 253

V. Nasal Polyposis 259

VI. Lung Function in Allergic Rhinitis 260

VII. Nasal Hyperreactivity 261

VIII. Nasal Disease and Obstructive Sleep Apnea 261

IX. Acute and Chronic Sinusitis 261

17. Pleural Effusion and Pneumothorax / Patrick A. Dowling, Veena B. Antony 265

II. Pleural Effusion 265

III. Pneumothorax 286

18. Acute Lower Respiratory Tract Infection / Shawn J. Skerrett 293

I. Epidemiology of Acute Lower Respiratory Tract Infection 293

II. Microbiology of Acute Lower Respiratory Tract Infection 294

III. Clinical Presentation of Acute Lower Respiratory Tract Infection 295

IV. Evaluation of Patients with Suspected Acute Lower Respiratory Tract Infection 296

V. Management of Acute Lower Respiratory Tract Infection 302

VI. Prognosis and Follow-Up 306

19. Acute Respiratory Failure / John J. Marini 309

II. Oxygenation Failure 309

III. Ventilatory Failure 318

IV. Principles of Managing Respiratory Failure 324

20. Evaluation and Management of the Solitary Pulmonary Nodule / T. Glen Bouder, Jay H. Ryu 329

II. Initial Evaluation 331

III. Diagnostic Procedures 333

IV. Decision Making 336

V. Prognosis 338

21. Hemoptysis / David H. Ingbar 341

II. Etiologies 341

III. Approach to Diagnosis and Management 352

IV. Treatment 354

V. Common Therapies

22. Oxygen Therapy / Walter J. O'Donohue, Jr. 357

II. Regulations and Requirements for Home Oxygen Therapy 357

III. Physician Responsibility in Long-Term Oxygen Therapy 359

IV. Oxygen Reimbursement Issues 360

V. Oxygen During Sleep and Exercise 360

VI. Oxygen Delivery Systems 362

VII. Oxygen Concentrators 362

23. Smoking Prevention and Smoking Cessation / Roger H. Secker-Walker 371

I. Scope of the Problem 371

II. Smoking Prevention 373

III. Smoking Cessation 374

24. Lung Transplantation / James H. Dauber 383

II. Definitions and Surgical Considerations 383

III. Diseases Amenable to Transplantation 384

IV. Selection of Recipients 386

V. Selection of a Donor 389

VI. Principles of Immunosuppression 391

VII. Outcomes of Lung Transplantation 394

VIII. Complications 397

25. Principles of Mechanical Ventilation / Theodore W. Marcy 413

I. Goals of Mechanical Ventilation 413

II. Classification of Ventilator Modes 413

III. Ventilator Settings in Specific Clinical Settings 421

IV. Evaluating for Discontinuation of Ventilatory Support 424

V. Long-Term Ventilation 425

VI. Important Specific Diseases

26. Asthma / William J. Calhoun 429

II. Goals of Asthma Management 429

III. Approach to Asthma Diagnosis 430

IV. Approach to Asthma Management 436

V. Specific Asthma Syndromes 446

27. Chronic Obstructive Pulmonary Disease and Emphysema / John W. Kreit, Robert M. Rogers 451

II. Pathophysiology 451

III. Clinical Features 453

IV. Diagnosis 455

V. Management of Stable COPD 457

VI. Evaluation and Management of COPD Exacerbations 467

28. Sarcoidosis / Gunnar Gudmundsson, Gary W. Hunninghake 475

II. Pathogenesis 475

III. Clinical Manifestations 477

IV. Treatment 478

29. Chronic Diffuse Parenchymal Lung Diseases / Talmadge E. King, Jr., Marvin I.

Schwarz 487

II. Occupational and Environmental Causes of DPLD 494

III. Drug-Induced Interstitial Lung Disease 494

IV. Fibrotic Diseases of Unknown Etiology 496

V. Collagen Vascular Diseases 512

VI. "Primary" or Unclassified Syndromes 517

30. Venous Thromboembolism / Roger H. Secker-Walker 531

I. Venous Thromboembolism 531

II. Clinical Features 534

III. Diagnosis 535

IV. Management 538

31. Sleep-Disordered Breathing / David E. Gannon 551

II. Physiology of Sleep and Sleep-Disordered Breathing 551

IV. Risk Factors 554

V. Clinical Presentation 554

VI. Clinical Evaluation of Patients 556

VII. Management of Obstructive Sleep Apnea Syndrome 563

32. Lung Cancer / M. Patricia Rivera, Diane E. Stover 569

I. Epidemiology 569

II. Risk Factors/Etiology 569

III. Molecular Biology 570

IV. Histology 571

V. Clinical Presentation 571

VI. Paraneoplastic Syndromes 572

VII. Diagnosis 572

VIII. Preoperative Assessment of NSCLC 573

IX. Staging of SCLC 576

X. Natural History of Lung Cancer 577

XI. Treatment of NSCLC 577

XII. Treatment of SCLC 579

XIII. Prevention 580

XIV. The Future 580

33. Heart Disease Caused by Lung Disease / William E. Hopkins 581

II. Pulmonary Hypertension 581

III. Parenchymal Lung Disease and Hypoxia 587

IV. Pulmonary Vascular Occlusive Disease with Right Heart Failure 589

V. Pulmonary Vascular Occlusive Disease Without Right Heart Failure 592

34. Cystic Fibrosis / William P. Sexauer, Stanley B. Fiel 595

II. Pathophysiology 595

III. Approach to the Patient 597

IV. Antimicrobial Therapy 598

V. Chest Physiotherapy and Mucociliary Clearance 603

VI. Bronchodilators and Aerosols 604

VII. Mucolytics and DNase 604

VIII. Anti-Inflammatory Therapies 605

IX. Lung Transplantation 607

X. Complications 608

35. Tuberculosis / Jeffrey D. Edelman, Milton D. Rossman 613

II. Clinical Presentation of Tuberculosis 613

III. Diagnosis of TB Infection 615

IV. Tuberculin Skin Testing and Prophylaxis 617

V. Treatment of Active Tuberculosis 619

VI. Prevention of Transmission 623

36. Infections Due to Nontuberculous Mycobacteria / Michael D. Iseman 627

II. Various Forms of Pulmonary Disease 627

III. Diagnosis of Pulmonary NTM Infection 630

IV. Principles of Treatment 631

V. Adjunctive Therapy 633

VI. Common Pathogens 633

VII. Recommended Management 637

37. Chronic Fungal Pulmonary Infections / Scott F. Davies 639

II. Histoplasmosis 640

III. Blastomycosis 642

IV. Coccidiodomycosis 644

V. Cryptococcosis 647

VI. Aspergillosis 648

VII. Respiratory Disease in Special Settings

38. Occupational and Environmental Airway Disease / Joel N. Kline, David A. Schwartz 653

II. Occupational History 654

III. Occupational Asthma 655

IV. Chronic Airway Disease-Chronic Obstructive Pulmonary Disease, Industrial Bronchitis, and Byssinosis 659

V. Toxic Fumes 660

VI. Reactive Airways Dysfunction Syndrome (RADS) 663

VII. Organic Dust Toxic Syndrome (ODTS) 664

VIII. Management and Outcome 666

39. Occupational and Environmental Lung Diseases Caused by Inhaled Particles and Fibers / Gerald S. Davis 667

I. Diagnosis of Occupational Parenchymal Lung Diseases 667

II. Dose, Time, Exposure, and Biological Response 670

III. Lung Diseases Caused by Inhaled Particles 673

IV. Lung Diseases Caused by Inhaled Fibers 684

V. Lung Diseases Caused by Cobalt 690

VI. Lung Diseases Caused by Beryllium 694

40. Hypersensitivity Pneumonitis / Gerald S. Davis 697

I. Clinical Features 697

II. Agents and Environmental Exposures 701

III. Pathogenesis 705

IV. Prevalence 707

V. Diagnosis 707

VI. Prognosis 709

VII. Therapy 709

41. Evaluation of Respiratory Impairment and Disability / Akshay Sood, Carrie A. Redlich 713

II. Basic Definitions 713

III. Guidelines for Disability Evaluation 714

IV. Clinical Approach to Evaluating Pulmonary Disability 714

V. Evaluation of Common Diseases 716

VI. Workmen's Compensation 719

VII. Reporting Disability and Compensation Evaluations 720

42. Altitude and Illness / William G.B. Graham 721

II. General Adaptive Mechanisms in Normals 722

III. Altitude and Illness 724

IV. Acute Mountain Sickness 725

V. High-Altitude Pulmonary Edema (HAPE) 726

VI. High-Altitude Cerebral Edema 727

VII. Altitude and Existing Lung Disease 728

VIII. Lung Disease and Adaptation to Altitude 728

IX. Aircraft Flight 730

43. Obesity / Dudley F. Rochester 735

II. Quantification and Distribution of Obesity 735

III. Gas Exchange and Pulmonary Function 737

IV. Respiratory System Compliance and Resistance 738

V. Control of Breathing 738

VI. Respiratory Muscle and Exercise Performance 739

VII. Clinical Complications Related to the Respiratory System 740

VIII. Weight Loss in Morbid Obesity 743

IX. Treatment of OSA and Ventilatory Failure 744

X. Case Presentation 746

44. Pregnancy / Jing W. Liu, Dudley F. Rochester 751

II. Respiratory Physiology in Pregnancy 751

III. Obstructive Lung Diseases 754

IV. Restrictive Disorders of the Lungs and Chest Wall 758

V. Infectious Diseases 759

VI. Acute Respiratory Failure 762

VII. Deep Venous Thrombosis and Pulmonary Embolism 764

45. Preoperative Evaluation and Management of the Respiratory Disease Patient / Simon D. Spivack, Joseph L. Saraceno 769

I. The Surgical Procedure as a Challenge to the Respiratory Disease Patient 769

II. Anesthesia 769

III. Site-Specific Risks for Surgery 771

IV. Perioperative Interventions That Minimize Risk 777

V. Smoking Cessation 777

VI. Lung Expansion Techniques 778

VII. Management of Airflow Obstruction 780

VIII. Prophylaxis Against Deep Vein Thrombosis 780.

Notes:

Includes bibliographical references and index.

ISBN:

0824760026

OCLC:

41712219