Cardiothoracic Surgery and the Lung in Non-malignant Situations Flashcards

1
Q

What are the main causes of lung abscesses?

A
  • Aspiration
  • Pneumonia
  • PTE
  • Lung cancer
  • Septic emboli
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2
Q

What are the main causes of empyema thoracis?

A
  • Post pneumonic
  • Post operative
  • Oesophageal
  • Upper abdominal related
  • Osteomyelitis
  • Post traumatic
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3
Q

Why is empyema sometimes referred to as a trapped lung?

A

Pus collects in the pleural space and there is pleural thickening which prevents the lung from re-expanding

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4
Q

Give 5 examples of thymic tumours.

A
  • Thymoma
  • Thymolipoma
  • Thymic carcinoma
  • Carcinoid tumours of the thymus
  • Lymphoma
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5
Q

Give 2 examples of tracheal tumours.

A
  • Salivary gland tumours

- Squamous carcinoma

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6
Q

Why might tracheal surgery be carried out?

A
  • Repair of iatrogenic injury

- Tracheal tumours

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7
Q

Give examples of benign lung tumours (6)

A
  • Hamartoma
  • Fibroma
  • Lipoma
  • Neural tumours
  • Papillomas
  • Chondroma
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8
Q

What are the 3 things that need to be considered with pneumothorax?

A
  • Primary vs secondary
  • Recurrent vs persistent
  • Open pneumothorax
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9
Q

What do giant bulla of the lung respond according to?

A

Boyle’s law

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10
Q

What are the indications for surgery in pneumothorax?

A
  • Recurrence
  • Persistence
  • Sometime after 1 episode if it doesn’t resolve
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11
Q

What are the surgeries that are carried out in response to pneumothorax?

A
  • Pleurodesis

- Pleurectomy

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12
Q

When do bronchogenic cysts develop?

A

Present from birth

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13
Q

How do bronchogenic cysts cause symptoms?

A

By pressing on the trachea or oesophagus

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14
Q

What group of cysts do bronchogenic cysts belong to?

A

Foregut duplication cysts

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15
Q

What conditions may lead to lung transplantation?

A
  • Cystic fibrosis
  • Pulmonary fibrosis
  • Emphysema
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16
Q

What is the criteria for lung transplantation?

A
  • Age<65
  • Not overweight
  • Not diabetic
  • No renal failure
  • No mental illness
  • Good social support
17
Q

What is the mortality rate for single lung transplantation?

A

5-10%

18
Q

What is the mortality rate for double lung transplantation?

A

10-20%