Жанры
Авторы
Контакты
О сайте
Книжные новинки
Популярные книги
Найти
Главная
Авторы
Stephen J. Bourke
Respiratory Medicine
Читать книгу Respiratory Medicine - Stephen J. Bourke - Страница 1
Оглавление
Предыдущая
Следующая
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
...
122
Оглавление
Купить и скачать книгу
Вернуться на страницу книги Respiratory Medicine
Оглавление
Страница 1
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Respiratory Medicine Lecture Notes
Страница 8
Preface
About the Companion Website
Страница 11
1 Anatomy and physiology of the lungs
A brief revision of clinically relevant anatomy Bronchial tree and alveoli
Lung perfusion
Physiology
Ventilation
The muscles that drive the pump
The inherent elastic property of the lungs
Airway resistance
Site of maximal resistance
The flow‐limiting mechanism
The effects of disease on maximum flow rate
Airway resistance and lung volume
Lung volume and site of maximal airway resistance
Gas exchange
Where does the air go?
Where does the blood go?
Relationship between the partial pressures of O2 and CO2
Carbon dioxide
Oxygen
The carriage of CO2 and O2 by blood
Effect of local differences in V/Q
Effect on arterial CO
2
content
Effect on arterial O
2
content
The alveolar gas equation
The control of breathing
KEY POINTS
FURTHER READING
Multiple choice questions
Multiple choice answers
Страница 41
2 History taking and examination History taking
Symptoms
Dyspnoea
Wheeze
Cough and sputum
Haemoptysis
Chest pain
Associated symptoms
History Past medical history
General medical history
Family history
Social history
Occupational history
Examination
General examination
Cough
Hands
Clubbing
Jugular veins
Cyanosis
Chest
Inspection
Palpation
Percussion
Auscultation
Breath sounds
Added sounds
Signs
KEY POINTS
FURTHER READING
Multiple choice questions
Multiple choice answers
3 Pulmonary function tests
Normal values
Simple tests of ventilatory function
Lung volumes
Spirometry
Vital capacity
Forced expiratory volume in 1 second and FEV
1
:FVC ratio
Maximal midexpiratory flow
Peak expiratory flow
Flow/volume loop
Total lung capacity
Respiratory muscle function tests
Gas transfer (transfer factor for carbon monoxide)
Single‐breath method
Transfer coefficient
Interpretation
Arterial blood gases
Review of acid/base balance
Bicarbonate concentration
Acid/base disturbances
Respiratory acidosis (acute): pH reduced, PCO2 raised, bicarbonate normal
Respiratory acidosis (chronic): pH normal (lower half of normal range), PCO2 raised, bicarbonate high
Respiratory alkalosis (cases are usually acute, as the causes are rarely sustained): pH raised, PCO2 reduced, bicarbonate normal
Metabolic acidosis: pH reduced, PCO2 reduced, bicarbonate reduced
Metabolic alkalosis: pH raised, PCO2 high normal or slightly raised, bicarbonate raised
Mixed disturbances
Arterial oxygenation
Respiratory failure
A simple algorithm for reviewing blood gas results
KEY POINTS
FURTHER READING
Multiple choice questions
Multiple choice answers
4 Radiology of the chest Chest X‐ray
Abnormal features Collapse
Consolidation
Pulmonary masses
Cavitation
Fibrosis
Mediastinal masses
Ultrasonography of the chest
Computed tomography
Positron emission tomography
KEY POINTS
FURTHER READING
Multiple choice questions
Multiple choice answers
Страница 121
{buyButton}
Подняться наверх