Pulmonology

PULMONOLOGY


1. Fundamentals of Pulmonology

  • Anatomy of the respiratory system
  • Physiology of ventilation & gas exchange
  • Lung mechanics & compliance
  • Diffusion and V/Q matching
  • Acid–base physiology related to respiratory disorders
  • Pulmonary function testing (spirometry, DLCO, plethysmography)
  • Respiratory failure (type I and II)
  • Chronic cough


2. Airway Diseases

2.1 Asthma

2.2 Chronic Obstructive Pulmonary Disease (COPD)

2.3 Bronchiectasis

  • Causes: post-infectious, CF, immunodeficiency
  • Evaluation & chronic management

2.4 Cystic Fibrosis


3. Interstitial Lung Diseases (ILD)

3.1 Idiopathic Interstitial Pneumonias

  • IPF
  • NSIP
  • Acute interstitial pneumonia

3.2 ILD Associated with Systemic Diseases

  • Rheumatologic ILD
  • Sarcoidosis (multi-organ involvement)

3.3 Occupational & Environmental ILD

  • Pneumoconiosis
  • Hypersensitivity pneumonitis

3.4 Drug-induced ILD


4. Pulmonary Infections

4.1 Community-Acquired Pneumonia

  • Typical vs atypical pathogens
  • Risk scores (CURB-65, PSI)

4.2 Hospital-Acquired / Ventilator-Associated Pneumonia

4.3 Opportunistic Pulmonary Infections

  • HIV
  • Transplant patients
  • Fungal pneumonias

4.4 Tuberculosis


5. Pleural Diseases


6. Pulmonary Vascular Diseases

6.1 Pulmonary Embolism (PE)

6.2 Chronic thromboembolic pulmonary hypertension (CTEPH)

6.3 Pulmonary hypertension (WHO group 1–5)

6.4 Pulmonary vasculitis


7. Neoplastic Diseases of the Lung

7.1 Lung Cancer

7.2 Carcinoid Tumors

7.3 Metastatic Pulmonary Nodules


8. Sleep Medicine / Sleep-related Breathing Disorders

  • Obstructive sleep apnea
  • Central sleep apnea
  • Obesity hypoventilation syndrome
  • Polysomnography
  • CPAP/BiPAP titration


9. Disorders of Ventilation & Gas Exchange

  • Alveolar hypoventilation
  • Hypercapnia
  • Hypoxemia (diagnostic algorithm)
  • Diffusion impairment


10. Critical Care Pulmonology

  • ARDS (Berlin criteria, ventilatory strategies)
  • Ventilator management
  • Difficult airway
  • Acute respiratory failure
  • Severe asthma/COPD crisis
  • ECMO overview (VV/VA)
  • Weaning and extubation


11. Inhalation Injuries & Environmental Lung Diseases

  • Smoke inhalation
  • Chemical pneumonitis
  • High altitude illnesses
  • Drowning/near-drowning
  • Air pollution effects


12. Pulmonary Diagnostics & Procedures

12.1 Pulmonary Function Testing

  • Spirometry
  • Flow-volume loops
  • Bronchodilator testing
  • DLCO
  • Methacholine challenge

12.2 Imaging

  • Chest X-ray interpretation
  • HRCT of the chest
  • Nuclear medicine (V/Q scan)

12.3 Bronchoscopy

  • Flexible vs rigid
  • Bronchoalveolar lavage
  • Endobronchial biopsy
  • EBUS

12.4 Pleural Procedures

  • Thoracentesis
  • Chest tube insertion
  • Tunneled pleural catheter (PleurX)

12.5 Advanced Diagnostics

  • Cryobiopsy
  • Transbronchial lung biopsy
  • Lung ultrasound

13. Smoking-related Lung Diseases

  • Chronic bronchitis
  • Emphysema
  • Respiratory bronchiolitis
  • Smoking cessation therapies


14. Pulmonology in Special Populations

  • Pregnancy
  • Pediatrics
  • Elderly
  • Neuromuscular disorders
  • Immunocompromised hosts


15. Pulmonary Pharmacology

  • Bronchodilators (SABA, LABA, LAMA)
  • Inhaled corticosteroids
  • Mucolytics
  • Antibiotics in pulmonary infections
  • Antifibrotics (nintedanib, pirfenidone)
  • Vasodilators in pulmonary hypertension
  • Sedation & analgesia related to mechanical ventilation


16. Lung Transplantation

  • Indications & selection
  • Pre-transplant evaluation
  • Post-transplant complications
  • Immunosuppression


 

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