OME - Day 4 Flashcards
Biopsy of a lung cancer adjacent to the trachea, what test do you use?
Endoscopic Ultrasound / Bronchoscopy (EUS is better)
Biopsy of a lung cancer in the middle of the lung parenchyma, what test do you use?
VATS
Biopsy of a lung cancer on the periphery, what test do you use?
Percutaneous, CT guided
Cushing’s Syndrome and lung cancer = ?
Small cell, ACTH
How do you screen lung cancer?
CT scan
Hyponatremia and lung cancer = ?
Small cell, SIADH
Lung Cancer and Hypercalcemia
Metastatic disease OR PTH-rp from Squamous cell carcinoma
Ship-yards, construction, and lung cancer =?
Asbestosis, pleural plaques, adenocarcinoma (don’t forget mesothelioma)
What do you get to evaluate a lung cancer?
CT scan
Wheezing, flushing, diarrhea, lung cancer, what’s the diagnosis?
Carcinoid, 5-HIAA in the urine
Adenosine Deaminase is high in the pleural fluid, what does that means?
TB
Pleural effusion has malignant cells in it, what does that mean?
Metastatic cancer
The pleural effusion fluid is loculated, what do you do?
Thoracostomy (chest tube)
The pleural effusion is an empyema, what do you do?
Thoracotomy (surgery)
There are a lot of red blood cells in the pleural effusion, what does that mean?
Hemothorax
You find an effusion on CXR, no heart failure, what do you do?
Lateral Decubitus OR ultrasound