CXR tutorial Flashcards
differentials of bilateral lymphadenopathy?
TB, malignancy, sarcoid
what is lung collapse caused by?
obstruction - foreign body, malignancy, mucus plug. can’t get air in. nothing to keep lung open. collapse
what could happen to left hemi diaphragm in left upper lobe collapse?
it could raise up do to pressure. usually right should be higher due to liver
what is asbestosis and what is it caused by?
fibrosis, prolonged asbestos exposure
symptoms of sarcoidosis?
bilateral hilar lymphadenopathy, mild fever, arthralgia, erythema nodosum
Malignant mesothelioma is a tumour of the mesotheial cells most commonly affecting which pleura?
visceral or parietal pleura
in MM, why do you get chest pain which can affect sleep?
infiltration of the tumour into the chest wall
what is “veils sign” seen in ?
left upper lobe collapse. left lung is whiter than the right. Lose mediastinal border, however there is still air in the apex.
air filled cavity, fever, haemoptysis?
TB
how can you diagnose TB?
acid fast bacilli on stain testing
Sail sign on x ray is diagnostic of what?
LLL collapse. Lower the sail. Everything drawn down to lower right
Vales sign, diagnostic of?
LUL collapse
Almost all left upper lobe collapses are?
malignant
In a primary pneumothorax, if the rim of air is less than 2 cm, and the patient is not short of breath, what should be considered?
discaharge
what should be done in primary pneumo, rim of air >2cm?
chest drain
