Physical methods of diagnosis in diseases of respiratory system AND THEIR PATHOPHYSIOLOGICAL BASIS:I. Interview and visual examination

Abstract

This publication continues a series of papers devoted to questions of Propaedeutic of Internal Diseases and its pathophysiological basis, primarily based on the material of bronchopulmonary pathology. Propaedeutic is widely interpreted by authors as an Introduction to Internal Medicine; therefore, these articles also contain clinical pathophysiological material. The article compares the achievements and traditions of Russian therapeutic school with the principles of Internal Medicine that have evolved in the practice of foreign medical education. The article is devoted to doctor patient communication as regards to case and life history and technique of visual examination in pulmonological patients as well as to pathophysiological basis for correct interpretation of these data. The article analyzes the mechanisms and phenomenology of dyspnea, including periodic breathing, cough, fever, chest pain and other symptoms important for the diagnosis of bronchopulmonary pathology (10 figs, bibliography - 44 refs).