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Flashcards in Pulm conditions Deck (17):
1

Pleural effusion- Eti

- Fluid in plural space
- Hydrothorax: serous fluid
- Pyothorax/ empyema- Pus secondary to pneumonia, abscess ro bronchiectasis
- Hemothorax- blood
- Chylothorax- lymph fluid

2

Pleural effusion- Sx

- Diminished breath sounds, dullness to percussion
- Pleural rub
- Contralateral mediastinal shift
- Dyspnea, cough, chest pain

3

Pleural effusion- Dx

- CXR
- Evaluate pleural fluid

4

Pleural effusion- Tx

- Effusion or empyema- thoracentesis
- Hemothorax- chest tube

5

Pneumothorax- Sx

- Surgical emergency
- Pleuritic chest pain
- Diaphoresis, cyanosis
- Hypotn
- Tachy
- Trachial deviation

6

Pneumothorax- Dx

CXR

7

Pneumothorax- Tx

- Tube thoracostomy
- Suction drainage
- Midaxilary line at nipple

8

Solitary pulmonary nodule- Sx

- Coin lesion
- Asymptomatic, incidental finding on CXR

9

Solitary pulmonary nodule-Dx

- Excisional biopsy to exclude malignancy
- Video assisted

10

Lung abscess- Sx

- Insidious onset of cough, fever, dyspnea
- Malaise and wt loss
- Clubbing
- Cacheia
- Lobar consolidation

11

Lung abscess- Dx

- CXR
- Fine needle aspirate

12

Lung abscess- Tx

- Abx
- Percutaneous drainage

13

Lung CA- Sx

Anorexia, wt loss
- New or changed cough
- Hemoptysis
- Pneumonia, change in voice
- Horner syndrome

14

Lung CA- Dx

CXR, CT
- Biopsy

15

Lung CA- Tx- VATS

- Dx and staging of malignancies
- Video assisted
- Resection of peripheral nodules
- Wedge resection

16

Lung CA- Tx- Lobectomy

- Standard of care of Non Small cell
- + 1 inch margin
- Interlobar nodes

17

Lung CA- Tx- Wedge resection

- Removal of triangle shaped tissue
- Stage 1 or II