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Diagnostic Methods in Pulmonology

Diagnostic Methods in Pulmonology | Internal Medicine

How it begins

Expert reference guide for the systematic study of respiratory diseases. It integrates clinical examination, pulmonary physiology, advanced imaging, endoscopic techniques, biofluid analysis and molecular microbiology with continuous clinical correlation.

What it covers

  1. Initial Assessment
  2. Pneumological Clinical History
  3. · Cardinal Respiratory Symptoms
  4. · 1. Dyspnea
  5. · 2. Cough
  6. · 3. Expectoration
  7. · 4. Hemoptysis
  8. · 5. Chest pain
  9. · 6. Wheezing and stridor
  10. · Directed Etiological History
  11. Initial Assessment
  12. Physical Examination of the Chest
  13. · General and Thoracic Inspection
  14. · Pathological thoracic forms
  15. · Signs of chronic hypoxemia
  16. · Palpation
  17. · Percussion
  18. · Pulmonary Auscultation
  19. · Normal noises
  20. · Pathological noises added
  21. Applied Physiology
  22. Pulmonary Function Tests: Overview
  23. Pulmonary Function
  24. Spirometry
  25. · Fundamental Parameters
  26. · Forced Vital Capacity (FVC)
  27. · Forced Expiratory Volume in the first second (FEV₁)
  28. · FEV₁/FVC ratio (Tiffeneau index)
  29. · FEF 25-75% (MMEF)
  30. · Peak Expiratory Flow (PEF)
  31. · Obstruction Severity Classification (GOLD 2023)
  32. · Bronchodilator Test
  33. · Bronchial Provocation Test (Hyperreactivity)
  34. · Methacholine test
  35. · Bronchial stress test
  36. · Occupational exposure test
  37. Pulmonary Function
  38. Static Lung Volumes
  39. · Body Plethysmography
  40. · Gas Dilution Methods
  41. · Helium dilution (Closed circuit)
  42. · Nitrogen flushing (Open circuit)
  43. · Interpretation of Pathological Volumes
  44. Pulmonary Function
  45. Lung Diffusion Capacity (DLCO)
  46. · Single-Breath Technique
  47. · DLCO Correction Factors
  48. Pulmonary Function
  49. Arterial Blood Gas and Pulse Oximetry
  50. · Arterial Blood Gas (GAB)
  51. · Alveolar-Arterial Oxygen Gradient (P(A-a)O₂)
  52. · Classification of Respiratory Failure
  53. · Pulse Oximetry (Pulse oximetry)
  54. Pulmonary Function
  55. Cardiopulmonary Stress Tests
  56. · 6 Minute Walk Test (6MWT)
  57. · Cardiopulmonary Stress Test (CPET)
  58. Diagnostic Imaging
  59. Chest X-ray
  60. · Technique and Quality of Radiography
  61. · Complementary projections
  62. · Systematic Analysis of Chest X-ray
  63. · Pulmonary radiological patterns and differential diagnosis
  64. Diagnostic Imaging
  65. Chest Computed Tomography and HRCT
  66. · High Resolution CT (HRCT / HRCT)
  67. · Fundamental tomographic patterns in EPI
  68. · Peripheral tomographic patterns and distribution
  69. · Low Dose CT (LDCT) in Lung Cancer Screening
  70. Diagnostic Imaging
  71. Pulmonary CT Angio-CT and V/Q Scan
  72. · Pulmonary CT Angiography (CTPA)
  73. · PTE diagnostic algorithm (ESC 2019)
  74. · CTPA findings in acute and chronic PE
  75. · Ventilation/Perfusion Lung Scan (V/Q)
  76. Diagnostic Imaging
  77. Thoracic Ultrasound · MRI · PET-CT
  78. · Thoracic Ultrasound (Pulmonary POCUS)
  79. · Lung ultrasound artifacts and their clinical significance
  80. · Chest Magnetic Resonance (MRI)
  81. · PET-CT (Positron Emission Tomography)
  82. · Indications in pulmonology
  83. Endoscopic Techniques
  84. Flexible and Rigid Bronchoscopy
  85. · Flexible Bronchoscopy (Fibrobronchoscopy)
  86. · Diagnostic indications
  87. · Sample collection techniques in bronchoscopy
  88. · Bronchoalveolar Lavage (BAL): Cellular Interpretation
  89. · Rigid Bronchoscopy
  90. Advanced Endoscopic Techniques
  91. EBUS · Cryobiopsy · Navigation
  92. · EBUS — Endobronchial Ultrasound
  93. · Radial EBUS (R-EBUS)
  94. · Linear EBUS (CP-EBUS)
  95. · Transbronchial Cryobiopsy (TBLC)
  96. · Bronchial Electromagnetic Navigation (ENB)
  97. Invasive Procedures
  98. Thoracentesis and Pleural Biopsy
  99. · Thoracentesis
  100. · Basic technique
  101. · Relative contraindications
  102. · Pleural Biopsy
  103. · Blind pleural biopsy (Abrams/Cope needle)
  104. · Pleural biopsy guided by CT or ultrasound
  105. · Medical Thoracoscopy (Pleuroscopy)
  106. · Video-assisted Thoracic Surgery (VATS)
  107. Biofluid Analysis
  108. Pleural Fluid Analysis
  109. · Light Criteria
  110. · Complete Biochemical Analysis
  111. · Cytological and Microbiological Analysis
  112. · Pleural fluid cytology
  113. · LP cell count and formula
  114. · Microbiology of pleural fluid
  115. Respiratory Microbiology
  116. Microbiological Methods in Pulmonology
  117. · Sputum Analysis
  118. · Sputum quality criteria (Murray-Washington)
  119. · Techniques for Mycobacterium tuberculosis
  120. · Urinary Antigens
  121. · Biomarkers of Fungal Infection
  122. · Galactomannan (GM) serum and BAL
  123. · Serum β-D-Glucan (BDG)
  124. · Fungal PCR and other molecular techniques
  125. · Blood cultures and Cultures of Other Samples
  126. Sleep Diagnosis
  127. Sleep Studies and Nocturnal Respiratory Disorders
  128. · Polysomnography (PSG)
  129. · PSG key parameters
  130. · Definition of Apneas and Hypopneas (AASM 2012)
  131. · Home Respiratory Polygraphy (RP)
  132. · Obesity-Hypoventilation Syndrome (OHS)
  133. Immunological and Molecular Diagnosis
  134. Immunological, Genetic and Molecular Tests
  135. · Diagnosis of Latent Tuberculosis (LTBI)
  136. · Tuberculin test (TST / Mantoux)
  137. · IGRA (Interferon-Gamma Release Assays)
  138. · α₁-Antitrypsin (AAT) deficiency
  139. · Biomarkers in Thoracic Oncology
  140. · Liquid biopsy (ctDNA)
  141. · Serum Markers in Specific Lung Diseases
  142. Clinical Integration
  143. Integrated Diagnostic Algorithms
  144. · Approach to Pleural Effusion
  145. · Approach to the Solitary Pulmonary Nodule
  146. · Approach to Chronic Dyspnea of Unknown Etiology
  147. · Synthesis: Integration of Diagnostic Methods

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Internal Medicine
Category
Clinical Specialties
Type
Study Guide
Sections
147
Reviewed
2026-08-02
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