miscellaneous Flashcards

1
Q

small cell lung cancer

A

Chemotherapy

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2
Q

non-small cell lung cancer

A

Surgery > chemo/radio > palliative

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3
Q

pleural effusion (pleural fluid)

A

underlying cause

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4
Q

mesothelioma (asbestos)

A

1.pleurodese effuesions (TALC)- keeps lungs glued to pleura
2.normal cancer management

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5
Q

pneumothorax (air/gas pleural cavity causes lung to collapse)

A

oxygen
-tension pneumothorax (needle decompression- 2nd ICS mid-clav)
-spontaneous pneumothorax (i) aspiration (ii) chest drain-5/6 ICS mid-clav (iii) surgery

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6
Q

Rhinitis (congestion, runny nose, sneezing)

A
  1. intranasal anti-histamine (azelastine, loraditine)
    2.intranasal chromone (sodium cromoglicate)
    3.corticosteroids (beclometasone if worse for few days)
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7
Q

bronchiolitis (inflammation of bronchioles), bronchiectasis (excess mucus)

A

supportive, symptom relief

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8
Q

TB

A

active-RIPEx2, RIx4
latent- RIx3 Ix6
CNS affected- RIPEx2 RIx10

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9
Q

Rifampicin Side effect

A

red/orange pee/tears

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10
Q

isoniazid

A

peripheral neuropathy (tingly toes/fingers)

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11
Q

pyrazinamide

A

joint pain/gout

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12
Q

ethambutol

A

optic neuritis (colour blindness)

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13
Q

sarcoidosis (enlarged lymph nodes=granulomas, multisystem)

A

corticosteroid if vital organ affected, immunosuppression

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14
Q

extrinsic allergic alveolitis
(develops after allergen exposure)

A

oxygen, steroids, antigen avoidance

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15
Q

IPF (thickened alveolar wall)

A

corticosteroids+azathioprine (immunosuppression)
lung transplant if young

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16
Q

sleep apnoea

A

1.remove underlying cause
2.CPAP

17
Q

Flu

A

1.bed rest, fluids paracetamol, antivirals (oseltamivir, zanamivir)
2. vaccinate influenza A+B

18
Q

any immunodeficiency

A

prophylaxis until stem cell transplant- avoid infection, antibody replacement (IV)