Lung Flashcards

1
Q

PA

A

98% of dx

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2
Q

Lateral chest

A

Sternum

Isolation to see hiatal hernia

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3
Q

Heart shadow is on

A

The Left

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4
Q

Right side

A

3 lobes
Upper lobe = apex to bronchus
Middle lobe = bronchus to cardiophrenic angle
Lower lobe = everything below cardiophrenic angle

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5
Q

Left side - 2 lobes

A

Left upper lobe = apex to cardiophrenic angle

Lower lobe = cardiophrenic angle to below

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6
Q

Start above clavicels and compare

A

Side to side

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7
Q

If one side white and one side dark white side is the problem - 2 possibilities

A

Pneumoia

Pancoast tumor

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8
Q

White density goes well below clavicle with a straight line across
Productive cough (rusty brown sputum) for approx 10 days
Fever or recent hospital visit

A

Pneumonia

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9
Q

White density with no shape

Associated with horner’s syndrome. Interruption of cervical sympathetics

A

Pancoast tumor

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10
Q

Horner’s syndrome

A

Ptosis
Anhydrosis
Meiosis

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11
Q

If missing vascular markings on both sides

A

Emphysema

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12
Q

Radiographic findings emphysema

A
Bilateral darkened lung fields
Horizontal ribs
Stove pipe heart
Flattening of the diaphragmatic domes
Obliteration of the cardiophrenic angles
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13
Q

Go to area of bronchi

Unilateral whitening and enlargement

A

Pneumonia

Bronchogenic carcinoma

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14
Q

Consolidation of the lung

A

Pneumonia

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15
Q

Has shape or go to case hx if no shape
Pt presents with productive cough for around 10 days and fever
Possible visit to hospital

A

Pneumonia

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16
Q

No shape, so look at case hx - usually older
Long-term history of smoking (20-30 years)
Pt presents with coughing (non-productive) more than 30 days
Afebrile

A

Bronchogenic carcinoma

17
Q

Occasionally blood in cough

A

Bronchogenic carcinoma

18
Q

Bilateral whitening and enlargemnt on each side of bronchus

A

Sarcoidosis

19
Q

Unilateral hilar lymphadenopathy

A

Hodgkin’s lymphoma

20
Q

Well-circumscribed cannonball lesions

A

Pulmonary mets

21
Q

Tiny white spots throughout the lung

A

Tuberculosis

22
Q

Tuberculosis case management

A

Refer to authorities - CDC

23
Q

Pt presents with low-grade fever, night sweats, productive cough (yellow-green sputum)

A

Tuberculosis

24
Q

Small white lesions called Ghon lesions seen on x-ray

25
Postiive Tine test/Mantoux test Purified protein derivative (PPD) Just got back to states from 3rd world country
TB
26
If heart shadow is larger than half the size of the chest
Cardiomegaly
27
Gastric air bubble should be below level diaphragm, if not
Hiatal hernia
28
Pt presents with gas, heartburn and indigestion
Hiatal hernia
29
Vascular markings absent on one side
Pneumothorax | Atelectasis
30
Go to side of bronchus darker in color | No vascular markings on the darker side
Pneumothorax on that side
31
Go to side of the bronchus that is darker in color | Vascular markings on this side then the opposite side is the problem
Atelectasis