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	Clinical presentation of community-acquired pneumonia, pleurisies, lung cancer and pneumosclerosis
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

Pneumonias, pleurisies and lung cancer are common respiratory diseases. Sometimes they have similar clinical presentation. It is very important to know distinguishing these pathologic conditions because patient’s life, its quality and ability depend on right, timely diagnostics of the diseases.

2. Concrete aims:

• Study main symptoms and signs of the pneumonias, their classification

• Study main symptoms and signs of the dry and exudative pleurisies

• Learn types, main symptoms and signs of the lung cancer

• Master causes, symptoms and signs of pneumosclerosis

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	Term
Community-acquired pneumonia	Nosocomial or hospital-acquired pneumonia
Peripheral lung cancer	Atypical pneumonia
Dry pleurisy	Aspiration pneumonia
Exudative pleurisy	Pneumonia at the immunocompromised patients
Pneumosclerosis	Central lung cancer

4.2. Theoretical questions:

1. What is classification of pneumonias?

2. What is definition and etiology of community-acquired pneumonia?

3. What are symptoms and signs of lobar and focal community-acquired pneumonia?

4. Which features does atypical pneumonia have?

5. What is classification and causes of pleurisies?

6. What are symptoms and signs of the dry pleurisy?

7. What are symptoms and signs of the exudative pleurisy?

8. How pleural fluid should be investigated with laboratory methods?

9. What types of lung cancer do you know?

10. What are symptoms and signs of lung cancer?

11. What is definition and causes of the pneumosclerosis?