In medicine, pulmonology (aka pneumology) is the specialty that deals with diseases of the lungs and the respiratory tract. It is called chest medicine and respiratory medicine in some countries and areas. Pulmonology is generally considered a branch of internal medicine, although it is closely related to intensive care medicine when dealing with patients requiring mechanical ventilation. Surgery of the respiratory tract is generally performed by specialists in cardiothoracic surgery (or thoracic surgery). Chest medicine is not a specialty in itself but is an inclusive term which pertains to the treatment of diseases of the chest and contains the fields of pulmonology, thoracic surgery, and intensive care medicine. Pulmonology is concerned with the diagnosis and treatment of lung diseases, as well as secondary prevention (tuberculosis). Physicans specializing in this area are called pulmonologists.
Diagnosis
In medicine, 50% of all diagnoses can be made by a thorough medical history, and lung diseases are no different. The pulmonologist will conduct a general review and focus on:
Physical diagnostics are as important as in the other fields of medicine.
As many heart diseases can give pulmonary signs, a thorough cardiac investigation is usually included.
Other tools include: -
Treatment
Surgical treatment in generally performed by the (cardio)thoracic surgeon, generally after primary evaluation by a pulmonologist.
Medication is the most important treatment of most diseases of pulmonology, either by inhalation (bronchodilators and steroids) or in oral form (antibiotics, leukotriene antagonists).
Oxygen therapy is often necessary in severe respiratory disease (emphysema and pulmonary fibrosis). When this is insufficient, the patient might require mechanical ventilation.
Training
Pulmonologists are physicians who after receiving a medical degree MD or DO complete residency training in internal medicine (3 years) followed by at least 2 additional years of subspeciality fellowship training in pulmonology.
Diseases managed by the pulmonologist
Scientific research
Pulmonologists are involved in both clinical and basic research of the respiratory system, ranging from the anatomy of the bronchial epithelium to the most effective treatment of pulmonary hypertension (a disease notoriously resistant to therapy).
The content of this page is retrieved from http://en.wikipedia.org/wiki/Pulmonology under GFDL
