LEC 25 - Thorax

Question 1

How do you know whether pulmonary vein is too big or not?

Answer 1

Compare to 4th rib

Question 2

What does it mean when the pulmonary vein is too large?

Answer 2

Congestion

Question 3

If you see a compressed left main bronchus on lateral x-ray what is this a sign of?

Answer 3

Enlargement that is pushing things dorsally. Growth or left atrium enlargement

Question 4

What can cause coughing with enlarged hearts?

Answer 4

Bronchus being compressed and pulmonary edema

Question 5

What is the treatment for pulmonary edema?

Answer 5

Furosemide IV first thing. Then follow LIV protocol

Question 6

What are possible causes of enlarged left atrium, with pulmonary congestion, and interstitial pattern (heart failure)

Answer 6

DCM or mitral valve disease

Question 7

What does a pleural fissure line tell you?

Answer 7

Pleural effusion is present

Question 8

How much pleural effusion must be present in order to see a pleural fissure line?

Answer 8

~ 10 ml/kg

Question 9

How much fluid needs to be in the chest till you see breathing issues?

Answer 9

10 to 20 ml/kg

Question 10

What pattern do you see in the lung if there is a collapsed lung?

Answer 10

Alveolar pattern

Question 11

When you see an unstructured interstitial pattern what are your likely differentials?

Answer 11

Metastatic lymphoma, Primary lymphoma, or Fungal

Question 12

What can you see sometimes with lymphoma on a CBC?

Answer 12

Increased levels of Calcium