PANCE Blueprint Pulmonary (9%)

• Chronic bronchitis
• Emphysema

Infectious disorders

• Acute bronchiolitis
• Acute bronchitis
• Acute epiglottitis
• Croup
• Influenza
• Pertussis
• Pneumonias
  • Bacterial
  • Fungal
  • HIV-related
  • Viral
• Respiratory syncytial virus infection
• Tuberculosis

Neoplasms

• Carcinoid tumors
• Lung cancer
• Pulmonary nodules

Pleural diseases

• Pleural effusion
• Pneumothorax

Pulmonary circulation

• Cor pulmonale
• Pulmonary embolism
• Pulmonary hypertension

Restrictive pulmonary diseases

• Idiopathic pulmonary fibrosis
• Pneumoconiosis
• Sarcoidosis

Sleep apnea/Obesity hypoventilation syndrome

Other pulmonary disorders

• Acute respiratory distress syndrome
• Asthma
• Cystic fibrosis
• Foreign body aspiration
• Hyaline membrane disease

Here is a summary of the new additions/updates to the 2024 PANCE Pulmonary System Blueprint that took effect in 2025.

• The category of “other pulmonary disorders‘ has been removed, and acute respiratory distress syndrome (ARDS), foreign body aspiration, and hyaline membrane disease are now their own categories.
• New topic of empyema added to infectious disorders.
• The category of neoplasms has been updated to the more general classification of benign and malignant, carcinoid tumors remains, and pulmonary nodules as a topic have been removed.
• Sleep apnea/obesity hypoventilation syndrome has been broken into its two component parts, forming two separate topics
• Emphysema and chronic bronchitis no longer have separate categories and are under the singular topic of chronic obstructive pulmonary disease. Cystic fibrosis now resides in the category of obstructive pulmonary diseases.
• Pleural effusion and pneumothorax have been removed as subtopics of pleural diseases.
• New topic of pulmonary edema has been added to the category of pulmonary circulation.