Illness Presentation Flashcards
1
Q
Referral for CXR - lung cancer
A
Haemoptysis Features suggestive of mets Persistent lymphadenopathy Finger clubbing Unexplained or persistent (> 3 weeks): Cough Chest pain SOB Wt loss Chest signs Hoarseness
2
Q
Urgent referral to chest physician
A
CXR suggestive of lung cancer (pleural effusion and slowly resolving consolidation)
Persistent haemoptysis in smokers
Signs of superior vena cava obstruction
Stridor
3
Q
SVC obstruction
A
Obstruction of blood flow through SVC - gradual compression causing head and neck oedema and collateral blood flow
Medical emergency: airway obstruction, LOC due to cerebral anoxia, respiratory arrest, intracerebral bleeding
4
Q
Causes of SVC
A
Lung cancer Lymphoma Mediastinal fibrosis Infection SVC thrombosis
