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Index
Title Page
Copyright Page
Dedication
Contents
Contributors
Preface
PART 1: Perspectives
1 Milestones in the History of Pulmonary Medicine
PART 2: Scientific Basis of Lung Function in Health and Disease
SECTION 1 Genetic, Cellular, and Structural Basis of Normal Lung Function
2 Functional Design of the Human Lung for Gas Exchange
3 The Respiratory Muscles
4 Molecular Regulation of Lung Development
5 Pulmonary Surfactant and Disorders of Surfactant Homeostasis
6 Mucociliary Clearance
7 The Genetic Basis of Respiratory Disorders
8 Stem Cells and Respiratory Disease: Prospects for the Future
9 Personalized Pulmonary Medicine
SECTION 2 Physiological Principles of Normal Lung Function
10 Pulmonary Mechanics
11 Control of Ventilation
12 Circadian Rhythms and Sleep Biology
13 Pulmonary Circulation
14 Ventilation, Pulmonary Blood Flow, and Ventilation–Perfusion Relationships
15 Blood-Gas Transport
16 Diffusion, Chemical Reactions, and Diffusing Capacity
17 Acid–Base Balance
SECTION 3 The Lungs in Different Physiological States
18 Respiratory System Response to Exercise in Health
19 Aging of the Respiratory System
SECTION 4 Lung Immunology
20 Innate and Adaptive Immunity in the Lung
21 Lymphocyte- and Macrophage-Mediated Inflammation in the Lung
22 Mast Cells and Eosinophils
23 Leukocyte Accumulation in Pulmonary Disease
24 Antibody-Mediated Lung Defenses and Humoral Immunodeficiency
SECTION 5 Lung Injury and Repair
25 T Lymphocytes in the Lung
26 Chemokines, Adipokines, and Growth Factors in the Lung
27 Redox Signaling and Oxidative Stress in Lung Diseases
28 Fibroblasts in Lung Homeostasis and Disease
PART 3: Symptoms and Signs of Respiratory Disease
SECTION 6 Clinical Approach to the Patient
29 Approach to the Patient with Respiratory Symptoms
SECTION 7 Diagnostic Procedures
30 Modern Approach to Thoracic Imaging Diagnosis
31 Thoracic Ultrasonography
32 Physiologic and Metabolic Study of Pulmonary Disorders Using Conventional Imaging Techniques and Positron Emission Tomography
33 Pulmonary Function Testing
34 Principles and Applications of Cardiopulmonary Exercise Testing
35 Diagnostic Bronchoscopy, Transthoracic Needle Biopsy, and Related Procedures
36 Interventional Bronchoscopy
37 Diagnostic Thoracic Surgical Procedures: Thoracoscopy, VATS, and Thoracotomy
38 Evaluation of Respiratory Impairment and Disability
PART 4: Obstructive Lung Diseases
SECTION 8 Chronic Obstructive Pulmonary Disease
39 Pathology of Chronic Obstructive Pulmonary Disease: Diagnostic Features and Differential Diagnosis
40 Chronic Obstructive Pulmonary Disease: Epidemiology, Pathophysiology, Pathogenesis, and α 1-Antitrypsin Deficiency
41 Cigarette Smoking and Smoking Cessation
42 Course and Treatment of Chronic Obstructive Pulmonary Disease
43 Rehabilitation in Chronic Obstructive Pulmonary Disease and Other Respiratory Disorders
SECTION 9 Asthma
44 The Biology of Asthma
45 Asthma: Epidemiology
46 Asthma: Clinical Presentation and Management
47 Aspirin- and Exercise-Induced Asthma
48 Allergic Bronchopulmonary Aspergillosis (Mycosis) and Severe Asthma with Fungal Sensitivity
SECTION 10 Other Obstructive Disorders
49 Upper Airway Obstruction in Adults
50 Cystic Fibrosis
51 Bronchiolitis
52 Bullous Disease of the Lung
53 Bronchiectasis
PART 5: Interstitial and Inflammatory Lung Diseases
SECTION 11 Immunologic and Interstitial Diseases
54 Interstitial Lung Disease: A Clinical Overview and General Approach
55 Systemic Sarcoidosis
56 Idiopathic Pulmonary Fibrosis
57 Idiopathic Interstitial Pneumonias Other Than Idiopathic Pulmonary Fibrosis
58 Hypersensitivity Pneumonitis
59 Radiation Pneumonitis
60 Pulmonary Manifestations of the Collagen Vascular Diseases
61 Pulmonary Langerhans’ Cell Histiocytosis
62 Pulmonary Lymphangioleiomyomatosis
63 Benign Metastasizing Leiomyoma
64 Depositional Diseases of the Lungs
PART 6: Drug-Induced Lung Diseases
65 Pulmonary Toxicity Related to Chemotherapeutic Agents
66 Drug-Induced Pulmonary Disease Due to Nonchemotherapeutic Agents
PART 7: Other Infiltrative and Airspace Disorders
67 The Lungs in Patients with Inborn Errors of Metabolism
68 Alveolar Hemorrhage Syndromes
69 Aspiration-Related Pulmonary Disorders
70 Pulmonary Alveolar Proteinosis Syndrome
71 The Eosinophilic Pneumonias
PART 8: Disorders of the Pulmonary Circulation
72 Pulmonary Arterial Hypertension
73 Pulmonary Thromboembolic Disease
74 Pulmonary Vasculitis
75 Pulmonary Arteriovenous Malformations
PART 9: Disorders of the Pleural Space
76 Nonmalignant Pleural Effusions
77 Malignant Pleural Effusions
78 Pneumothorax
PART 10: Diseases of the Mediastinum
79 Malignant Mesothelioma and Other Primary Pleural Tumors
80 Nonneoplastic Disorders of the Mediastinum
81 Congenital Cysts of the Mediastinum: Bronchopulmonary Foregut Anomalies
82 Benign and Malignant Neoplasms of the Mediastinum
PART 11: Disorders of the Chest Wall, Diaphragm, and Spine
83 Nonmuscular Diseases of the Chest Wall
84 Effects of Neuromuscular Diseases on Ventilation
85 Management of Neuromuscular Respiratory Muscle Dysfunction
PART 12: Occupational and Environmental Disorders
SECTION 12 Occupational Disorders
86 Asbestos-Related Lung Disease
87 Chronic Beryllium Disease and Hard-Metal Lung Diseases
88 Coal Workers’ Lung Diseases and Silicosis
89 Occupational Asthma, Byssinosis, and Industrial Bronchitis
90 Acute and Chronic Responses to Toxic Inhalations
SECTION 13 Environmental Disorders
91 Indoor and Outdoor Air Pollution
92 High-Altitude Physiology and Clinical Disorders
93 Diving Injuries and Air Embolism
94 Thermal Lung Injury and Acute Smoke Inhalation
PART 13: Pulmonary Complications of Nonpulmonary Disorders
95 Noninfectious Pulmonary Complications of Hematopoietic Stem Cell and Solid Organ Transplantation
96 Pulmonary Complications of Sickle Cell Disease
97 Pulmonary Disorders and Pregnancy
98 Pulmonary Complications of Intra-abdominal Disease
PART 14: Sleep and Sleep Disorders
99 Sleep Apnea Syndromes: Central and Obstructive
100 Sleep-Related Hypoventilation Syndromes
101 Changes in the Cardiorespiratory System During Sleep
102 Differential Diagnosis and Evaluation of Sleepiness
PART 15: Surgical Aspects of Pulmonary Medicine
103 Perioperative Respiratory Considerations in the Surgical Patient
104 Acute Respiratory Failure in the Surgical Patient
105 Perioperative Care of the Patient Undergoing Lung Resection
106 Thoracic Trauma
107 Lung Transplantation
PART 16: Neoplasms of the Lungs
SECTION 14 Lung Cancer
108 Genetic and Molecular Changes in Lung Cancer: Prospects for a Personalized Pharmacological Approach to Treatment
109 Epidemiology of Lung Cancer
110 Approach to the Patient with Pulmonary Nodules
111 The Pathology of Bronchogenic Carcinoma
112 Clinical Evaluation, Diagnosis, and Staging of Lung Cancer
113 Treatment of Non–Small-Cell Lung Cancer: Surgery
114 Treatment of Non–Small-Cell Lung Cancer: Chemotherapy
115 Treatment of Non–Small-Cell Lung Cancer: Radiation Therapy
116 Small Cell Lung Cancer: Diagnosis, Treatment, and Natural History
117 Primary Lung Tumors Other than Bronchogenic Carcinoma: Benign and Malignant
118 Extrapulmonary Syndromes Associated with Lung Tumors
119 Pulmonary Metastases: The Role of Surgical Resection
SECTION 15 Lymphoproliferative Disorders
120 Lymphoproliferative and Hematologic Diseases Involving the Lung and Pleura
PART 17: Infectious Diseases of the Lungs
SECTION 16 General Concepts
121 Pulmonary Clearance of Infectious Agents
122 Approach to the Patient with Pulmonary Infection
123 Pulmonary Infection in Immunocompromised Hosts
124 Microbial Virulence Factors in Pulmonary Infections
125 Principles of Antibiotic Use and the Selection of Empiric Therapy for Pneumonia
SECTION 17 Common Syndromes in Pulmonary Infectious Diseases
126 Infections of the Upper Respiratory Tract
127 Aspiration, Empyema, Lung Abscesses, and Anaerobic Infections
128 Acute Bronchitis and Community-Acquired Pneumonia
129 Healthcare-Acquired Pneumonia, Including Ventilator-Associated Pneumonia
SECTION 18 Major Pathogens in Pulmonary Infections
130 Viral Infections of the Lung and Respiratory Tract
131 Tuberculosis
132 Diseases due to Nontuberculous Mycobacteria
133 Aspergillus, Candida, and Other Opportunistic Mold Infections of the Lung
134 Cryptococcosis and the Endemic Mycoses
135 Pneumocystis Pneumonia
136 Protozoan Infections of the Thorax
137 Helminthic Diseases of the Lungs
138 Zoonotic and Other Unusual Bacterial Pneumonias
PART 18: Acute Respiratory Failure
139 Respiratory Failure: An Overview
SECTION 19 Lung Failure
140 Acute Respiratory Distress Syndrome: Pathogenesis
141 Acute Lung Injury and the Acute Respiratory Distress Syndrome: Clinical Features, Management, and Outcomes
142 Sepsis, Multiple Organ Dysfunction Syndrome, and Chronic Critical Illness
SECTION 20 Respiratory Pump Failure
143 Pump Failure: The Pathogenesis of Hypercapnic Respiratory Failure in Patients with Lung and Chest Wall Disease
SECTION 21 Management and Therapeutic Interventions
144 Oxygen Therapy and Toxicity
145 Pulmonary Pharmacotherapy
146 Intubation and Upper Airway Management
147 Hemodynamic and Respiratory Monitoring in Acute Respiratory Failure
148 Principles of Mechanical Ventilation
149 Nutrition in Pulmonary Disease
150 Diagnosis and Treatment of Pain, Agitation, and Delirium in the Intensive Care Unit
151 Early Mobilization of Patients in the ICU
152 Organization of Intensive Care Units and Long-Term Acute Care Hospitals
153 Ethics and Palliative Care in Critical Care Units
APPENDIXES
Appendix A Terms and Symbols in Respiratory Physiology
Appendix B Normal Values for a Healthy 20-Year Old Seated Man
Index
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