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Flashcards in surgical complications of lung cancer Deck (10):
1

clinical examination

history:
-pain especially bone pain
-Hematuria- blood In urine
-neurological symptoms
Examination:
-brachial plexus palsy
-larangeal palsy
-pleural effusion
-chest wall masses
-hepatomegaly

2

Chest X-ray

-pleural effusion
-chest wall invasion
-collapsed lung
-phrenic nerve palsy

3

CT

-size of tumour
-distance from mediastinal structures
-Diaphragmatic involvement
-pleural effusion
-metastases

4

Blood tests

-anaemia
-liver function tests
-abnormal bone profile- e.g. xs calcium

5

Other

MRI-good in determining neurological and vascular damage in the pancoast tumour
Bone scan
ECHO- pericardial effusion

6

Surgical

Bronchoscopy
Mediastinoscopy- behind the breast

7

Fitness for surgery;
-what to look out for

CVS:
-angina
-high blood pressure
-heart murmurs
Respiratory:
-smoker
-asthmatic
-barrell chest
-exercise
-recent URTI
-obstructive disease
Psych:
-social background
-mental health
other:
-Pulmonary hypertension
-rheumatoid arthritis

8

Fitness for surgery:
-how to assess

respiratory:
-V/Q
-spirometry
-diffusion studies: inhale small amounts of CO
CVS:
-ECHO
-ECG
-ETT
-CT-for pericardial effusion

9

surgical complications

1-DEATH by
-pneumothorax
-MI
-ARDS
-Bronchopneumonia
-Intrathoracic bleeding
2-Non fatal complications:
-empyema
-wound infection
-AF
-MI
-Broncho-pleural fistula
3- complications with staging
-adrenal nodule
-presence of another small nodule
-collapse of lung

10

When there are signs if could be lung cancer but it is not

-infection
-benign tumour
-fibrosis
-granuloma