Chest Surgery/Transplant

Question 1

Spontaneous Pneumothorax

Answer 1

Risk factors: smoking, male, family history BHD: mutation in FLCN gene (follicular) Highest recurrence in 30 days Treatment: after 2 occurrences - VATS or thoracoscopy

Question 2

DVT Treatment/Prophylaxis

Answer 2

Ortho surgery: chemo or mechanical. Stop 12 hours prior and restart 12 hours after major surgery Provoked DVT: 3 months

Question 3

PTLD

Answer 3

Likely due to EBV Large B cell non Hodgkin Treatment: - rituximab (anti CD-20) - reduce immune suppression

Question 4

Acute Rejection

Answer 4

Within first year of transplant Lymphocytic vasculitis

Question 5

CMV Pneumonitis

Answer 5

Valganciclovir used for prophy Nodules/LAD not likely Interstitial infiltrate Cytomegalic 250-nm cell with large basophilic intranuclear inclusion body with halo