Misc resp medicine

Question 1

Causes of clubbing;

lntrathoracic ?: primary/ secondary.
Supparative lung disease: lung ?, CF, bronchiectasis, ?infection.
Fibrotic lung disease: IPF, ?.
CV disease: ? lesions, infective ?, aortic ?.
GI disease: IBD, ?.
Liver disease: chronic active ?, cirrhosis.
? acropathy.

Answer 1

neoplasm
abscess
fungal
asbestos
congenital
endocarditis
aneurysm
coeliac
hepatitis
thyroid

Question 2

Lobectomy (common OSCE patients);

Indications;
o Lung ?.
o Bronchiectasis: less common now.
o Chronic lung ?/ TB.
o Fungal infections: life threatening ? due to aspergillus.

Inspection: thoracotomy scar (can be ?), with chest wall ?
on the side of the surgery (ribs pulled in over the surgical site).

Palpation: tracheal displacement ? the surgical site. ?
expansion on that side.

Percussion: ?-resonant on the side of the lobectomy as the remaining
lung ? to fill the cavity.

Auscultation: ? air entry over the site.

Answer 2

ca
abscess
haemoptysis
laparoscopic
flattening
towards
reduced
hyper
expands
reduced