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The Ohio State University College of Medicine
Med 2 Integrated Pathway
Lecture HandoutsSeptember 9 – September 26, 2008
Block Leader:James N. Allen, M.D.201 Heart & Lung Research Institute473 W. 12th Ave.Columbus, OH 43210Phone: 614-293-4925email: james.allen@osumc.edu
 Pulmonary 2008-2009 Course Packet Table of Contents
Title Page
Introduction 1CPC Instructions 4
Date Lectures:
9-9-08 Structure, Function & Ventilation Dr. J. Allen 69-9-08 Histology of the Respiratory System Dr. Hitchcock 89-9-08 O2 and CO2 Transport - Dr. J. Allen 169-10-08 Diffusion Dr. B. Allen 189-10-08 Arterial Blood Gases - Dr. J. Allen 209-10-08 Chest Radiology - Dr. King 269-11-08 Blood Flow & Metabolism Dr. Haden 309-11-08 Ventilation & Perfusion Dr. Haden 319-11-08 Examination and Diagnostic Testing - Dr. J. Allen 329-12-08 Mechanics Dr. B. Allen 379-12-08 Pulmonary Hypertension - Dr. Haden 389-12-08 Pulmonary Embolism - Dr. Ali 399-15-08 Control of Ventilation Dr. Essig 469-15-08 Sepsis and Acute Respiratory Distress Syndrome - Dr. O'Brien 479-15-08 Respiratory Failure - Dr. Hoffmann 529-16-08 Asthma - Dr. B. Allen 589-16-08 Anti-Asthma Medications - Dr. Fertel 599-17-08 Pleural Disease - Dr. Hitchcock 679-17-08 Upper Airway Disorders - Dr. McCallister 749-17-08 COPD - Dr. Diaz 809-18-08 Pathology of Pneumonia Dr. Hitchcock 879-18-08 Lower Respiratory Infections in Adults Dr. Schaffernocker 949-18-08 Lower Respiratory Infections in Children Dr. Powell 1029-19-08 Lung Cancer - Dr. Hitchcock 1039-19-08 Lung Cancer - Dr. J. Allen 1119-19-08 Interstitial & Occupational Lung Disease - Dr. Hitchcock 1179-22-08 Immunologic and Rheumatologic Lung Disease - Dr. Weiland 1259-22-08 Inhalational and Occupational Lung Disease - Dr. Essig 1309-22-08 Interstitial Lung Disease - Dr. J. Allen 1399-23-08 Chest Emergencies Dr. Essig 1459-23-08 Infant Lung Diseases Dr. B. Allen 1519-23-08 Childhood Lung Diseases Dr. B. Allen 1569-24-08 Approach to Cough Dr. Wood 1609-24-08 Approach to Dyspnea Dr. J. Allen 1639-24-08 Cystic Fibrosis and Bronchiectasis - Dr. B. Allen 171
2008 MED II Respiratory Module – Introduction
Date: September 9, 2008Time: 8:30 amFaculty: James Allen, MD; Division of Pulmonary & Critical Care MedicineEmail: james.allen@osumc.eduThis module will cover the physiology, pathology, pharmacology, histology, radiology,and clinical diseases encountered in pulmonary medicine. In order to teach you, we haveassembled an interdisciplinary group of faculty:Physiology – Drs. James Allen, Elizabeth Allen, Douglas Haden, and Roy EssigRadiology – Dr. Mark KingPathology – Dr. Charles Hitchcock Pharmacology – Dr. Richard FertelAdult Pulmonary & Critical Care Medicine – Drs. James Allen, Naeem Ali,Jennifer McCallister, Doug Haden, Philip Diaz, James O’Brien, Roy Essig,Jeffery Weiland, Karen Wood, Troy Schaffernocker, and Stephen HoffmannPediatric Pulmonary – Dr. Elizabeth AllenPediatric Infectious Disease – Dr. Dwight PowellWe have adopted the educational techniques of concept building and repetition in orderto enhance learning and retention. In this regard, for most major classes of disease, wewill start with a normal physiology lecture, followed in about a day by a pathophysiologylecture, followed in about a day by clinical case presentations in a lecture setting (usuallywith “live” patients who will discuss their diseases and permit questions from you),followed in about a day by small group case studies. For some disease topics, we deletedthe clinical case presentations in the lecture setting or we deleted the small group casestudies (for time constraints, not because any of these topics are less meritorious).The lectures will have any required reading listed on their handouts. Most readings willbe available on texts that are on-line through the Health Sciences Library website. Thereis one text that is required for the module that is not available on-line from the library:Respiratory Physiology: The Essentials by John B. West. Because physiology ishistorically the most difficult part of the respiratory module, it is essential that youacquire a copy of the text in order to assimilate the material. The most recent version isthe 8
edition (2008) that has the advantage of coming with an access to the on-lineversion of the book. The 7
edition will work fine for your purposes but does not havethe on-line access.On line, you will find the cases for the small group sessions. They are created inPowerPoint format. These cases were created exclusively for use by students at the OhioState University College of Medicine. Many of the pathology images are used withpermission of Dr. Edward Klatt from his internet collection “WebPath” which can befound on the internet at:
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