Lung Ca - Common presx + Ix

Question 1

Clinical features

• persistent ? 80% - due to ? infection
• ? 70% - due to ? of tumour
• SOB 60% - due to ? ? of tumour
• ? pain 40% due to ?/? wall inv
• ? Sx

Answer 1

cough
distal
haemoptysis
ulceration
local extension
chest
pleural
chest
B

Question 2

O/E

• clubbing
• cachexia
• signs of ?
• hypertrophic pulmonary ? - paraneoplastic syndrome - ? and painful ? of small joints of ?
• chest signs of ?/?/?
• signs of ?

Answer 2

anaemia
osteoarthropathy
clubbing
osteitis
hand
collapse/consolidation/effusion
mets

Question 3

Ix - imaging

• CXR - anyone with ? should have CXR -> Sx tumours are almost always ?, normal in Sx pt should warrant further Ix for ? tumours
• ? CT - head to ?
• ??? scan/ ? bone scan if suspect ? disease

Answer 3

haemoptysis
visible
central
staging
pelvis
PET
radionucleotide
metastatic

Question 4

Ix - tests

• -FBC - ?/secondary ?
• LFT - signs of liver ?
• U+Es - hyper?aemia, hypo?aemia
• ?/? fluid cytology
• ? - CT guided if peripheral (risk of ?) -via ? if central
• pulm ? tests - useful if planning ?

Answer 4

anaemia, polycythaemia
mets
ca
na
sputum
pleural
biopsy
pneumothorax
bronchoscopy
fx
surgery