mebooksfree.com Clinical Pearls in PULMONOLOGY mebooksfree.com mebooksfree.com Clinical Pearls in PULMONOLOGY Hemanth IK MBBS MD Associate Professor Deparment of Internal Medicine KMCT Medical College Kozhikode, Kerala, India Co-author Binuraj C MBBS MD DTCD Associate Professor Department of Chest Medicine KMCT Medical College Kozhikode, Kerala, India Foreword MC Vinod Krishnan The Health Sciences Publisher New Delhi | London | Panama mebooksfree.com Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. 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Inquiries for bulk sales may be solicited at: [email protected] Clinical Pearls in Pulmonology First Edition: Digital Version 2018 ISBN 978-93-5152-417-5 mebooksfree.com Dedicated to My grandfather Dr TK Sudhakaran, whose life as a doctor has inspired me to take up this noble profession mebooksfree.com mebooksfree.com Foreword In this era of technology, there is a general feeling that investigative medicine is going to replace the age-old bedside clinical medicine; however, anybody with at least a few years of experience in medical profession knows otherwise. A good history with thorough clinical examination will clinch the diagnosis in most of the patients. This not only saves the cost and pain of unnecessary investigations but also helps in building a good doctor–patient relationship. There are so many good textbooks on clinical medicine that are time tested and followed by generations of medical students. Why take the trouble of bringing out one more? This is probably the question everybody asked when they came to know that Dr Hemanth IK has written a textbook on clinical medicine. When they see his work they will know why it is worthwhile to have one more. It is well known that in medicine and probably in all subjects, it is easy to ask questions but difficult to get the right answer. This probably inspired the author to present the subject in a totally different way. Although the questions and answers method of presenting the subject is not a new one, there are very few good books that are written in this way, especially in clinical medicine. The book is also well illustrated. The students will definitely find this very useful, especially when it comes to answering tough questions during their clinical and oral examinations. I strongly recommend this book to all the undergraduate students of medicine. The junior residents also will find this book useful. Presently, this book covers only the respiratory mebooksfree.com viii Clinical Pearls in Pulmonology system and I am sure that Dr Hemanth IK will bring out many more books in different clinical specialties of internal medicine in the near future. I congratulate him for his effort and wish him good luck. MC Vinod Krishnan MBBS MD Professor and Head Department of Medicine KMCT Medical College Kozhikode, Kerala, India mebooksfree.com Preface The importance of clinical medicine appears to be on the downfall with most of the modern textbooks giving more importance to the investigative part of medicine. But in country like India, where majority of the population reside in the rural areas with very little laboratory facilities, it is essential that we should concentrate on the clinical side of medicine. This book has been written keeping this aspect in mind. To make things more interesting, the facts are presented in a questions and answers format. I sincerely hope that my humble attempt will be beneficial to all of you. I am extremely thankful to Dr Binuraj C, who has helped me in editing this book and his suggestions were very valuable. I am also thankful to Professor MC Vinod Krishnan, who has taken all the pains to go through the matter, and his suggestions were of immense help in writing this book. I am also thankful to Shri Jitendar P Vij (Group Chairman) and Mr Ankit Vij (Group President) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, for helping me to bring out this book. I am thankful to all my teachers, collegues and well wishers, for their support given to me. KozhikodeHemanth IK mebooksfree.com