UKRAINIAN MINISTRY OF PUBLIC HEALTH

Vinnytsya National Medical University n.A. M.I. Pyrogov

«APPROVED»

At the methodological meeting of the internal medicine propedeutics department

Chief of the department

____________ prof. Mostovoy Y.M.

«______»_______________ 200 ___ y.

Guidelines for Third-year Students of the Medical Department

Subgect	Propedeutics of the internal medicine
Modul №	1
Enclosure module №	2
Topic	Syndromes of lobar and focal consolidations of lung tissue, pleural effusion, pneumothorax, atelectasis
Course	3
Faculty	Medical № 1

Methodical recommendations are made in accordance with educationally-qualifying descriptions and educationally-professional programs of preparation of the specialists ratified by Order MES of Ukraine from 16.05 2003 years № 239 and experimentally - curriculum, that is developed on principles of the European credit-transfer system (ECTS) and Ukraine ratified by the order of MPH of Ukraine from 31.01.2005 year № 52.

Vinnytsya- 2007

1. Importance of the topic

Syndromic diagnostics is one of the important components at the diagnostic process. Revealing pathogenic relation between different symptoms and signs forms integral estimate about patient’s condition. It is indispensable to correct diagnosis and treatment.

2. Concrete aims:

• Study main symptoms and signs of the syndromes of focal and lobar consolidation of the lung tissue

• Learn main instrumental methods that can help to establish consolidation of the lung tissue

• Study main symptoms and signs of the syndrome of pleural effusion

• Learn basic investigations that should be performed for confirming pleural effusion and laboratory examinations of the pleural fluid

• Study main symptoms, signs of pneumothorax, its instrumental diagnostics

• Master causes, symptoms and signs of the different types of atelectasis, their instrumental diagnostics

3. Basic training level

Previous subject	Obtained skill
Normal anatomy	Anatomy of the airways and lungs, their blood supply and innervation
Normal physiology	Mechanics of breathing, gas exchange in the lung and tissues of system organs
Histology	Ontogenesis of the respiratory tract, histological structure of the respiratory tract and alveoli
Propedeutics to internal medicine	Subjective, objective and instrumental examinations of the respiratory patients

4. Task for self-depending preparation to practical training

4.1. List of the main terms that should know student preparing practical training

Term	Definition
Consolidation of the lung tissue	Pathologic process when alveoli are felt with inflammatory exudates, transudates, blood tumor cells or others
Pleural effusion	Accumulation of fluid in the pleural cavity
Transudates	Non-inflammatory fluid that can accumulate in pleural cavity, alveoli, bronchus and others
Exudates	Inflammatory fluid that can accumulate in pleural cavity, alveoli, bronchus and others
Pneumothorax	Accumulation of air in the pleural cavity
Atelectasis	Collapse of lung tissue