Book excerpt: The thoroughly revised, updated Sixth Edition of this Spiral® Manual is a complete, convenient, practical guide to diagnosis and management of pulmonary disorders. A new chapter on terrorism and disaster medicine has been added and new contributors have rewritten the chapters on preoperative pulmonary evaluation, aspiration pneumonia, the lung in immunocompromised hosts, staphylococcal and streptococcal pneumonias, anaerobic pulmonary infections, histoplasmosis, Aspergillus lung disease, neuromuscular diseases and spinal cord injury, pulmonary complications in burn patients, sarcoidosis, and Goodpasture's syndrome. Other chapters have been revised to incorporate recent American Thoracic Society recommendations on end-of-life care, exercise testing, tobacco control, and other concerns.