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Chest and vascular > Top 3 > Flashcards

Top 3 Flashcards

(47 cards)

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1
Q

Solitary pulmonary nodule

A

Granuloma, neoplasm (primary or secondary), hamartoma

Also consider: round pneumonia, AVM

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2
Q

Multiple pulmonary nodules

A

Mets, granulomatous (TB, fungal), septic emboli

Also consider: Wegener’s, RA

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3
Q

Cavitary pulmonary nodule

A

Tb, fungal, SCC (primary or met)

Also consider - pyogenic infection (abscess, septic emboli), Wegener’s, RA

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4
Q

Miliary nodules

A

TB, fungal, mets

Also consider: pneumoconioses, healed varcilla

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5
Q

Centrilobular pulmonary nodules

A 
Infectious bronchioloitis (MAC, TB), hypersensitivity pneumonitis, endobronchial spread of tumour
Also consider: RB-ILD, pneumoconioses
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6
Q

Cystic lung disease

A

Emphysema, LAM, LCH

Also consider pneumocystis, LIP

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7
Q

Lower lobe interstitial disease

A

UIP, collagen vascular disease, asbestos-related lung disease
Also consider: drug toxicity

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8
Q

Upper lobe interstitial disease

A

TB, sarcoid, CF

Also consider pneumoconioses, LCH

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9
Q

Hyperlucent lung

A

top 3: chest wall (mastectomy, Poland), Swyer-James, acute asthma
top 3 don’t miss: airway obtruction, PE, pneumothorax

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10
Q

Anterior mediastinal mass

A

Lympmhoma, thymic, thyroid, teratoma

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11
Q

Middle mediastinal mass

A

Lymphadenopathy, vascular (aortic or pulmonary artery aneurysm), congenital cyst (bronchogenic)
Also consider hiatus hernia

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12
Q

Posterior mediastinal mass

A

Neurogenic tumour, lymphoma, developmental cyst (neuroenteric)
Also consider: extramedullary haematopoiesis, mediastinal haematoma

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13
Q

Chronic air space disease

A

COP, proteinosis, Carcinoma

Also consider: chronic eosinophilic pneumonia, lipoid pneumonia

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14
Q

Peripheral air space disease

A

COP, eosinophilic pneumonia, infarct

Also consider contusion, sarcoid

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15
Q

Ground glass

A

Pulmonary oedema, atypical infection, pulmonary haemorrhage

Also consider: ARDS, proteinosis, vasculitis

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16
Q

Hilar adenopathy

A

Infection, lymphoma, sarcoid

Also consider: mets, pneumoconiosis

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17
Q

Calcified pleural disease

A

Asbestos, fibrothorax (prior infection or haemorrhage), iatrogenic (pleurodesis)

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18
Q

Bronchiectasis

A

Post-infection (bacterial, TB, MAC), CF, ABPA

Also consider: obstructive lesion / mass, ciliary dyskinesia

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19
Q

Perilymphatic pulmonary nodules

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A

Sarcoid, lymphangitic spread of tumour, pneumoconioses

Also consider: lymphoproliferative disorder

20
Q

Pleural-based mass

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A

Pleural mets, empyema, mesothelioma

Also consider: fibrous tumour of pleura, fibrothorax

21
Q

Parenchymal disease in HIV patient

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A

Pneumocystis, TB, fungal infection

Also consider: invasive aspergillosis, Kaposi sarcoma, lymphoma

22
Q

Cardiac mass

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A

Thrombus, mets, benign neoplasm (myxoma, rhabdomyoa)

Also consider: malignancy (sarcoma, lymphoma)

23
Q

Delayed myocardial enhancment

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A

Infarction/scar, myocarditis, cardiac mass

Also consider infiltrative disease (granuoma, amyloid)

24
Q

Cardiac wall fatty despoition

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A

Lipoma, lipomatous hypertrophy of interatrial septum, arrhytmogenic righ ventricular dysplasia

25
Post-procedure arterial abnormality
Haematoma, pseudoaneurysm, AVF
26
Carotid artery stenosis
Atherosclerosis, FMD, dissection | Also consider iatrogenic
27
Failing renal transplant
ATN, artery stenosis, obstruction | Also consider: rejection, vein thrombosis, cyclosporine toxicity
28
Digital artery occlusion / ischaemica
Raynaud, vasculitis (SLE, Buerger), embolic disease | Also consider: thoracic outlet, trauma, atherosclerosis
29
Subclavian vein occlusion
Prior instrument / catheter, hypercoagulable, Paget-Shroetter / effort thrombosis
30
Great vessel stenosis
Atherosclerosis, vasculitis (GCA, takayasu), dissection | Also consider radiation
31
Renal artery stenosis
Atherosclerosis, FMD, dissection
32
Intraparenchymal renal artery aneurysms
Vasculitis (polyarteritis nodosa), mycotic / septic emboli, trauma Aso consider Ehlers-Danlos, speed kidney
33
Hypervascular pulmonary mass
AVM, Ca, met | Also consider carcinoid, pulmonary artery aneurysm
34
Infrarenal aortic occlusion
Atherosclerosis, thrombus/embolus, vasculitis (Takayasu) | Also consider dissection
35
Popliteal artery occlusion
Atherosclerosis, embolism, trauma | Also consider: thrombosed aneurysm, entrapment syndrome, cystic adventitial disease
36
Extra-testicular mass
Varicocele, pyocele/haematocele, hydrocele
37
Hypervascular renal mass
RCC, AML, oncocytoma | Also consider AVM/F
38
Prominent paraspinal flow voids
Spinal dural AVF, aspinal cord AVM, collateral venous flow from IVC ovvlusion Also consider spinal cord neoplasm with increased vascular flow, VSF pulsations
39
Suprasellar mass adult
Pituitary macroadenoma, craniopharyngioma, aneurysm | Also consider meningioma
40
Hypervascular cerebral mass / abnormality
AVM, hypervascular tumour (GBM, meningioma), aneurysm | Also consider Moyamoya
41
Aortic dissection
HTN, traum, connective tissue disease | Also consider annuloaortic ectsia, bicuspid valve, coarctation
42
Lower GI bleed
Diverticulosis, neoplsia, angiodysplasia | Also consider: focal colitis
43
Vascular ring sling
Aberrant right subclavian, dobule arch, right arch with aberrant left Also consider: pulmonary sling
44
Urinary obstruction
Sone, TCC, clot | Also consider fungus ball, floughed papillae
45
TIPSS dysfunction
Neointimal hyperplasia, thrombosis, technical error
46
Biliary duct occlusion
Stone, cholangioca, pancreatic ca | Also consider chronic pancreatitis, PSC, parasitic infections (Ascariasis, Clonorchis)
47
Coeliac axis occlusion
Atherosclerosis, thromboembolic, vasculitis (Takayasu, PAN) | Also consider: median arcuate ligament syndrome, FMD, radiation

Chest and vascular (9 decks)

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