25/01 Flashcards

1
Q

Which cancer is gynaecomastia associated with?

A

Adenocarcinoma of the lung

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2
Q

How can you differentiate between COPD and alpha 1 antitrypsin deficiency?

A

In A1AD they will have emphysematous changes in the bases of the lung instead of the apices
There may also be abnormal liver function tests

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3
Q

What are causes of upper lobe fibrosis?

A
Coal workers pneumoconiosis
Histiocytosis 
Ankylosing Spondylitis or Allergic bronchopulmonary aspergillosis 
Radiation
TB
Silicosis and Sarcoidosis

CHARTS pneumonic

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4
Q

What is a complication of draining pleural effusions too quickly?

A

Re-expansion pulmonary oedema
Precipitated by shortness of breath or cough

Should have slow drainage of fluid- no more than 1L over less than 6 hrs

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