From Questions Flashcards

1
Q

Main sign of lung sarcoid and other signs

A

Non-casesting granuloma
ACE may also be elevated
Face rash
Polyuria due to hypercalcaemia

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2
Q

PE in carcinoma

A

Direct venous compression and procoagulant effect of carcinomas

Can be sudden onset or insidious if multiple small

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3
Q

Another name for idiopathic pulmonary fibrosis

A

Cryptogenic fibrosing alveolitis

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4
Q

Paraneoplastic conditions associated with small cell carcinoma

A

MS
MG and LES
SIADH
Ectopic ACTH secretion

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5
Q

Abscess in CF

A

Gram positive cocci (clusters) such as staph a

Cause cavitiating lung disease - therefore abscesses, empyema and pneumothorax

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6
Q

Ghon focus

A

Peripheral pulmonary calcified nodule
In TB

Can reactivate with immunosuppression

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7
Q

Goodpastures presentation

A

Can be slow - a few days

c-Anca and gbm

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8
Q

Aspiration pneumonia location

A

Right lower lobe

Get bronchial breathing

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9
Q

Single mass obstructing airways

A

Monophonic wheeze

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10
Q

Signs of Haemothorax - eg trauma and vessel laceration

A

Same signs as left pleural effusion

If blood is enough can push mediastinum over to the other side - displaced trachea and apex beat

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11
Q

Tracheal deviation with pleural effusions

A

Away from side of effusion if very large

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12
Q

Right middle lobe pneumonia heard where?

A

Axilla

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13
Q

Tracheal deviation with fibrosis and other signs on examination?

A

Towards the side of lesion

Can also get bronchial breath sounds and reduced expansion and dull percussion

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14
Q

Brocks syndrome?

A

Hilar lymphadenopathy in primary TB causes lobar collapse and subsequent bronchiectasis

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15
Q

Asbestos Cancer risks

A

Mesothelioma

Small cell carcinoma also

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16
Q

Calcium and small cell carcinoma

A

hypercalcaemia with bony Mets and also SCC secrete PTH related peptide

17
Q

PANCOAST isn’t just left sided!!!!

A

Dumb ass

18
Q

Features of legionella pneumonia

A

Hyponatraemia and lymphopaenia
Flu-like symptoms
Deranged LFTs

19
Q

Young syndrome features

A

Bronchiectasis, male infertility and sinusitis