Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
6_Inst_lab_inv_lung.doc
Скачиваний:
0
Добавлен:
01.05.2025
Размер:
122.88 Кб
Скачать

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 №

1

Topic

Instrumental and laboratory methods of examination of the respiratory system

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

Instrumental and laboratory diagnostic procedures are used for establishing suspected diagnosis or obtaining data that can help to reveal unclear or unexplained changes at the patient’s condition. Modern additional methods of examination are very various and informative. They are very important and indispensable for accurate and timely diagnostics of the respiratory diseases.

2. Concrete aims:

  • Study main indications and methods of performing lung function tests (spirometry, peak expiratory flow )

  • Learn main lung function parameters in a norm and their change at the obstructive and restrictive defects

  • Study pulse oximetry and its diagnostic importance

  • Understand diagnostic importance of the bronchoscopy

  • Study method of performing pleural aspiration, its diagnostic importance

  • Study the laboratory examination of pleural fluid and sputum

  • Study X-ray and computer tomography investigations of the chest, main indications and diagnostic importance

3. Basic training level

Previous subject

Obtained skill

Biological physics

Principles of radiology and optics

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

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

Peak expiratory flow

The highest speed of flow in the beginning of forced expiration

Pulse oximetry

Non-invasive assessment of peripheral O2 saturation

Obstructive defect

Reduced speed parameters more than volume ones

Restrictive defect

Reduced volume parameters more than speed ones

Fibreoptic bronchoscopy

Assessment of the large airways using fibreoptic tube inserted into their

Pleural puncture

Inserted special needle into pleural cavity for diagnostic or therapeutic aspiration pleural fluid at the patient with pleural effusion