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Breathless: a lesson in diagnosis and treatment of occupational respiratory diseases

This lesson presents a practical case in occupational medicine, and is meant for medical students and professionals in training for occupational medicine. It guides through the process of proper diagnosis of two different types of occupational lung diseases, related to meat production and glasshouse work. The lesson emphasizes the right diagnosis on basis of prescribing proper tests and gives clues for treatment. The lesson is fully interactive and consists of 26 cards (slides). The cards contain descriptive texts, questions and feedback, and illustrative pictures and movies. Certain terms are explained. Often, cards present a task or question. After sending an answer, feedback is given. After passing all cards, you will get a red or green mark (enough correct answers). If you are following a regular course in Munich, a tutor can give comments.  The present lesson is given in English and Spanish.

The series of medical cases for medical students and physicians-in-training for Occupational Medicine has been developed by the Institute and Clinic for Occupational, Social and Environmental Medicine at the LMU university (Munich, Germany). The cases, developed in 2006-2013, are still present-day in many countries, and useful for education. Nevertheless, cases might be not up-to-date or valid everywhere, for example regarding diagnostic procedures, risk assessment tools, therapeutic interventions, or figures like incidence rates. Differences may be caused by differences in time periods, contextual conditions, or populations. Discussion about such aspects in a group, with a colleague, or with a teacher, is an essential part of the learning experience.

Practical. Make an account in ‘Casus’ using the link below. Go to ‘Register’, use your e-mail address as LOGIN, fill in a personal password. When registration is completed, LOGIN again, select if needed the English language (see, under your name, ‘Options’, ‘Language’). Go to ‘Player’, you see ‘Courses available’, select ‘Virtualpatient-Work.Net – English course’. Select one of the cases. You can complete a case once. Changing answers after completing is not possible.


English, Spanish

Original Authors:

Monsó, E.; Sanz, J.;Garcia-Olivé, I.

Original affiliation, ownership:

Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Ownership: NeTWoRM partners in Germany, England, France, Spain and The Netherlands. Corresponding address: Institute and Outpatient Clinic for Occupational and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany.

Year of publication:


Charge for use or free:

Free of charge


Target group(s):

graduate students, OSH experts; or in training

Usefulness for non-OSH-expert professionals:

More or less useful for non-OSH-expert professionals in health care or other sectors; or in training

Time demand to complete the lesson or course:

1 hour


The lessons can be attended and completed online for free. No material may be copied. During the session, some private data will be stored. The learning materials can only be used if the user accepts these conditions, prior to attending the online lesson.

Intellectual property and copyright:

Before downloading, changing, disseminating, and/or using the lessons and courses, please look carefully at the conditions given by the authors or owners of the materials related to copyright or creative common conditions or other conditions. The conditions may regard the downloading, changing, further dissemination, and kind of use of the materials (non-commercial vs. commercial).

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