Problems in Respiratory Medicine
The topics chosen for discussion represent the most common problems referred by family doctors to chest clinics. It was taken for granted that the reader will be familiar with the symptoms, signs, and natural history of respiratory diseases, so that the stress is on differential diagnosis and treatment. Tuberculosis once occupied nearly all the time of chest physicians. At present weeks go by without a single case presenting itself. There has been no comparable improvement in cancer of the lung, which remains one of the most intract able problems. Asthma was seldom referred to out-patient clinics when the disease was regarded as more unpleasant than dangerous. The hazards of severe attacks and the advan tages of liaison with a hospital department are now widely recognized. A similar change of attitude to the management of chronic bronchitis brought many new patients to the chest clinics in place of the vanishing tuberculous population. Some uncommon pulmonary diseases are included: allergic alveolitis, because of the importance of early diagnosis, and sarcoidosis in order to discourage unnecessary treatment. The book is intended to be a practical guide and is not a critical review. This might serve as an excuse for its didactic style and the exclusion of controversial subjects. Some statements are repeated at more than one place in order to help readers who wish to consult individual chapters bearing on some current problem. Source references are omitted and are replaced by a short list of books recommended for further reading.
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abnormally abscess aerosol aetiology airways allergens allergic antibiotics antituberculosis drugs arterial aspiration asthma attacks bacterial blood breath sounds breathlessness bron bronchi bronchial bronchiectasis bronchodilator bronchodilator aerosol bronchodilator drugs bronchoscopy cancer cause cells central bronchi chest pain chest wall chest X-ray chronic bronchitis chronic respiratory failure clinical features clinical signs common complicating corticosteroids cough crackles culture Differential diagnosis disease disseminated dose dyspnoea effective elderly emphysema eosinophil expiration expiratory flow rate FEV1 fibrosing alveolitis fibrosis Figure fluid haemoptysis histological hospital hypersensitivity hypoxia illness infarction infective exacerbations inhalation Intal isoprenaline lesions lobar lobe lung infections mediastinal lymph nodes mg daily mouth mucus normal oxygen patients PEFR peripheral persistent pleural cavity pleural effusion pleurisy pneumonia pneumothorax prednisone presenting symptom primary pulmonary oedema purulent sputum pyogenic radiological recognized recurrent respiratory failure respiratory infections rifampicin salbutamol sarcoidosis seldom severe smoking stenosis tion treated treatment tubercle bacilli tuberculous pleurisy tumour uncommon usually widespread airflow obstruction