Internal Medicine: Pulmonology

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

The aim of the seminar is to demonstrate the clinical pictures of the frequent respiratory diseases and to teach the differential diagnostic procedures applied on the field of the respiratory medicine. The lectures are dedicated to introduce the most important respiratory diseases and their diagnosis and therapy. During the course we present the invasive and the noninvasive diagnostic methods at the bedside. The case reports presented in the ward illustrate the usual diagnostic and therapeutic procedures. We ensure to fulfil the practices prescribed in the lecture book.

Lectures

• 1. Haemopthysis, Abscessus pulmonis, Bronchiectasis, NTM, Fungal lung infentions - Szilágyiné Kacsó Anita Harmat
• 2. Lung cancer- epidemiology, diagnosis - Balikó Zoltán
• 3. Lung cancer-treatment - Bogos Krisztina
• 4. Asthma bronchiale -diagnosis and treatment - Soós Szilvia
• 5.

  COPD -diagnosis and treatment

  - Soós Szilvia
• 6. Tuberculosis, Latent TB infection - Engelmann-Szabó Mariann
• 7. Interstitial lung diseases, autoimmun disease related ILD, hypersensitive pneumonitis, Immun therapy related ILD - Balikó Zoltán
• 8. Diseases of the pleura and mediastinum, Mesothelioma - Török Zsófia Laura
• 9.

  Pulmonary hypertension, Pulmonary embolism

  - Varjú Péter
• 10.

  Obstructive sleep apnoe syndrome - diagnosis and treatment, Non-invasive ventilation at home

  - Pusalavidyasagar Snigdhasmrithi S.
• 11.

  Idiopathic pulmonary fibrosis, antifibrotic therapy, Sarcoidosis, Indications of Lung tranplantation

  - Engelmann-Szabó Mariann
• 12. Acute and chronic respiratory failure, Indications of acute non-invasive ventillation, Long term oxygen therapy - Ruzsics István
• 13. Pneumonia -diagnosis and treatment - Balikó Zoltán
• 14. Bronchology, Transthoracic needle biopsy - Pápai-Székely Zsolt

Practices

• 1. Lung function tests I. - Soós Szilvia
• 2. Lung function tests II. - Szilágyiné Kacsó Anita Harmat
• 3. Non invasive ventilation (NIV) - Ruzsics István
• 4. Allergy in the respiratory medicine: tuberculin test, PPD reult evaluation, sin prick test, etc. - Engelmann-Szabó Mariann
• 5. Intensive care in pulmonology (blood gas values, blood sampling for gas measurement) - Vén Péter László
• 6.

  Bronchoscopy I.

  - Varjú Péter
• 7.

  Bronchoscopy II.

  - Kajtárné Papp Emőke
• 8. Practice in the ward: patients with COPD
• 9. Practice in the ward: patients with asthma bronchiale
• 10. Practice in the ward: patients with pulmonary embolism
• 11. Practice in the ward: patients with lung cancer
• 12. Practice in the ward: patients with pneumonia
• 13. Practice in the ward: patients with respiratory failure
• 14. Practical exam

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Notes

Recommended literature

Hanley ME, Welsh CH, Hanley M, Welsh: Current Diagnosis &Treatment in Pulmonary Medicine, 1st edition, Publisher: McGraw-Hill Medical, (October 2003), ISBN-10:0071402594, ISBN-13:978-0071402590

Harrison: Principles of Internal Medicine. Single Edition Book, 18th edition, ISBN 978-0-07-159991-7

Conditions for acceptance of the semester

In case of more than 15% of absence from the practices (i.e. more than 1 practices) or more than 15% of absence from all contact hours (lectures and practices counted together) will result in refusal of signature and exclusion from the exam. In such cases students may apply for leniency to the course leader. If the absence exceeds 25%, signature will be automatically refused with no possibility for excuse.

We cannot make a difference between absences with and without acceptable reason.

If a student disturbs the contact hours or the work of the clinical ward, if his behaviour represents a health risk for patients, for groupmates or for himself, he can be excluded from the contact hour and considered to be absent.

Mid-term exams

Students take a written test during the exam period with the exam topics listed below. The result of the written test gives 80% of the final grade, 4 written exams are scheduled. Performance during the practices in the instruction period and the result of an oral practical exam held during the last two weeks of the instruction period account for 20% of the final grade.

Making up for missed classes

An absence may be compensated by attending another group’s practice, which must be authenticated by the tutor (maximum 2 practices).

Exam topics/questions

1.) Imaging techniques: indications of CT, MRI and isotope methods.

2.) Bronchoscopy. Technical considerations and indications for diagnostic bronchoscopy.

3.) Mediastinoscopy, pleuroscopy, VATS and the perthoracic needle biopsy. Techniques and indications.

4.) Differential diagnosis of the pleural fluid.

5.) Differential diagnosis and treatment of the haemoptysis.

6.) Differential diagnosis of the dyspnoe.

7.) Lung function. Ventilation and diffusion disturbances.

8.) Pharmacospirometry, the bronchial provocation tests.

9.) Execution of the blood gas analysis. Evaluation of the results.

10.) Definition of the chronic obstructive lung diseases. Classification, epidemiology and pathogenesis.

11.) Therapy of COPD, prevention and prognosis.

12.) Definition, classification, pathogenesis and pathology of asthma bronchiale.

13.) Symptoms, differential diagnosis and prognosis of asthma bronchiale. The technique and evaluation of the result of the allergy test.

14.) Guideline of the treatment of asthma bronchiale.

15.) Treatment of the acute asthma attack.

16.) Etiology and treatment of cases with community acquired pneumonia treated at home or treated in the hospital.

17.) Classification, etiology and treatment of the nosocomial pneumonia.

18.) Pulmonary abscess, bronchiectasis and cystic fibrosis.

19.) Technique and evaluation of the tuberculin test. The interferon gamma test.

20.) Epidemiology, etiology and the natural course of pulmonary tuberculosis.

21.) Principles of the treatment of pulmonary tuberculosis. First line and second line antituberculotic agents.

22.) The extrapulmonary tuberculosis. Manifestations and treatment of diseases caused by nontuberculotic Mycobacteria.

23.) The most frequent fungal infections of the lung.

24.) Epidemiology, clinical symptoms and treatment of pulmonary embolism.

25.) Symptoms and causes of the pulmonary oedema (left heart failure, ARDS) and the principles of the therapy.

26.) Classification, symptoms, diagnosis and therapy of pulmonary hypertension.

27.) Epidemiology, pathogenesis, symptoms and diagnostic methods of lung cancer.

28.) Histologic subgroups of the lung cancer. Basic principles and therapeutic consequences of lung cancer staging. The importance of the histology regarding the appropriate therapy of non small cell lung cancer.

29.) Paraneoplastic syndromes of the lung cancer.

30.) Diseases of the pleura, diaphragma and the mediastinum.

31.) Classification, diagnosis and therapy of the interstitial lung diseases.

32.) Clinical manifestation, diagnosis and therapy of hypersensitive pneumonitis.

33.) Epidemiology, pathogenesis, symptoms and signs and therapy of Boeck sarcoidosis.

34.) Aetiology, symptoms and therapy of the pneumothorax.

35.) Forms, causes, diagnosis and treatment of the respiratory failure. Non invasive mechanical ventilation.

36.) Obstructive sleep apnoe syndrome; symptoms, diagnosis and treatment.

Examiners

• Balikó Zoltán
• Engelmann-Szabó Mariann
• Ruzsics István
• Soós Szilvia
• Szilágyiné Kacsó Anita Harmat
• Varjú Péter

Instructor / tutor of practices and seminars

• Balikó Zoltán
• Engelmann-Szabó Mariann
• Kajtárné Papp Emőke
• Németh Éva
• Ruzsics István
• Soós Szilvia
• Szilágyiné Kacsó Anita Harmat
• Varjú Péter
• Vén Péter László