Hemoptysis And Lung Cancer Flashcards Preview

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Flashcards in Hemoptysis And Lung Cancer Deck (19)
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0
Q

Horners – caused by? Symptoms?

A

Compression of superior cervical ganglion. Ptosis, miosis, anhydrosis

1
Q

Massive hemoptysis?

A

100 – 600 mL of blood in 24 hours

2
Q

Most common causes of Hemoptysis now? Previously?

A

Bronchitis and lung cancer.

Tuberculosis, lung abscess, bronchiectasis

3
Q

Chronic copious sputum production suggest?

A

Bronchiectasis

4
Q

Hemoptysis with an acute onset of pleuritic chest pain and dyspnea suggests?

A

PE

5
Q

Work up for hemoptysis?

A

Chest x-ray to look for mass

If chest x-ray reveals mass, fiber-optic bronchoscopy to biopsy

6
Q

Types of non-small cell lung cancer?

A

Squamous cell carcinoma, adenocarcinoma, large cell carcinoma

7
Q

Cancer most likely to form cavitary lesions?

A

Squamous cell cancer

8
Q

Peripheral cancers?

A

Adenocarcinoma and large cell carcinoma

9
Q

One cancer with least association with smoking? See instead?

A

Adenocarcinoma. Pulmonary fibrosis/scarring

10
Q

On cancer that tends to metastasize to CNS and mediastinum? Associated with?

A

Large cell cancer. Associated with SVC syndrome and hoarseness (consequence of laryngeal paralysis)

11
Q

Patient with history of this asbestos exposure: cancer?

A

Squamous cancer, adenocarcinoma, mesothelioma

12
Q

Cancer that is more likely to respond to chemotherapy?

A

Small cell carcinoma

13
Q

Unlike other cancers, this is not observed with small cell cancer?

A

Cavitation

14
Q

Small cell cancer: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

A

Central, yes, rare , early,

SIADH, ACTH, Eaton-Lambert, Cushing, peripheral neuropathy

15
Q

Squamous cell: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

A

Central, yes, most likely, late, hypercalcemia

16
Q

Adenocarcinoma: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

A

Peripheral, no, no, early, thrombophlebitis

17
Q

Large cell: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

A

Peripheral, yes, no, late, SVC syndrome and hoarseness

18
Q

Findings that suggest solitary pulmonary nodule is benign?

A
  1. Calcifications
  2. Size <2.5 cm
  3. No growth after two years

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