Over a 5-month period, I carried out pulmonary consultations at the Selçuk University Hospital, which is a 571-bed teaching hospital in Konya, Turkey. In total, 133 patients were evaluated during this period. A preoperative pulmonary assessment was performed in 85 patients (63.9%) from different surgical departments. In addition to a detailed medical history and physical examination, the following preoperative laboratory tests were ordered routinely: CBC; blood biochemistry analysis; urinalysis; ECG; chest roentgenography; and pulmonary function tests. For further investigation, when needed, arterial blood gas analysis, thoracic ultrasonography, chest CT scan, bronchoscopy, thoracentesis, pleural biopsy, sputum examination for acid-fast bacilli, and tuberculin skin test were performed. More than 90% of patients sought consultation in the following surgical departments: general surgery (25 patients); urology (19 patients); orthopedics (19 patients); otolaryngology (9 patients); and neurosurgery (7 patients). Of the 85 patients, there were 59 men and 26 women, with a mean (± SD) age of 63.4 ± 13.24 years (range, 18 to 95 years). Twenty-nine patients (34.1%) were heavy smokers (ie, > 20 pack-years). The most common symptoms were dyspnea (27%), cough (26%), and sputum production (20%). Diagnoses made after consultations in 52 patients (61.2%) are presented in Table 1
. Of the 85 patients, no abnormalities in the respiratory system were found in 33 (38.8%).