John Fumer MF1 Respirology
Activity
Tutorial
Tutorial
John Fumer is a 54 year old man who began smoking at the age of 14 and has averaged a pack a day since then. Five years ago, he noticed that heavy exertion such as climbing 2 flights of stairs would leave him more "winded" than usual but there was no major impact on his lifestyle (including smoking!) Over the last 18 months, he has noticed increasing restriction on his activities. When a friend pointed out that he could no longer "walk and talk at the same time", he decided to seek help from his family physician.
Curriculum Block
Medical Foundation 1 / Part 1 / Respirology / Week 2
- Indicates most relevant
Objectives
General Objectives
- Explain the basic pathophysiology of the diseases which result in airway obstruction (upper and lower airway).
- Explain the effects of airflow obstruction on the respiratory tract, lung mechanics and gas exchange. Use this knowledge to explain the symptoms and signs with which the patient with lower or upper airway obstruction presents.
- Explain the assessment of airflow obstruction using diagnostic tests.
- Recognize the importance of occupational exposures leading to respiratory disease.
- Explain the relationship between alveolar ventilation, gas exchange and the acid-base balance in the blood.
- Develop an approach to management of respiratory diseases: medications (including oxygen), behavioural modifications and population measures for prevention.
- Identify the lung volumes that can be measured during spirometry and full pulmonary function.
- Describe how the mechanics of breathing are disturbed in examples of obstructive and non-obstructive (“restrictive”) diseases.
Global Objectives
Assessments
End-Unit Tutorial Assessment
Mid-Unit Tutorial Assessment
Concept Application Exercise (CAE)
Tags
Basic Sciences
Anatomy
Diagnosis
Physiology
Prevention and control
Therapy
Curriculum Block
Medical Foundation 1
Part 1
Respirology
Week 2
Curriculum Week
Part 1
Week 5
Discipline
Family medicine
Pulmonary Medicine
MCC Presentations
Dyspnea
McMaster Program Competencies
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
MeSH
Lung Volume Measurements [E01.370.386.700.485]
Diagnosis, Differential [E01.171]
Dyspnea [C23.888.852.371]
Functional Residual Capacity [G09.772.850.390]
Lung [A04.411]
Pulmonary Disease, Chronic Obstructive [C08.381.495.389]
Pulmonary Gas Exchange [G09.772.705.760.602]
Radiography, Thoracic [E01.370.350.700.730]
Residual Volume [G09.772.850.390.820]
Respiration [G09.772.705]
Respiratory Dead Space [G09.772.760]
Respiratory Function Tests [E01.370.386.700]
Respiratory Physiological Phenomena [G09.772]
Respiratory Sounds [G09.772.775]
Respiratory System [A04]
Signs and Symptoms, Respiratory [C23.888.852]
Smoking Cessation [F01.145.940.700]
Smoking [F01.145.466.753]
Total Lung Capacity [G09.772.850]
Vital Capacity [G09.772.850.970]