Pulm conditions Flashcards
1
Q
Pleural effusion- Eti
A
- Fluid in plural space
- Hydrothorax: serous fluid
- Pyothorax/ empyema- Pus secondary to pneumonia, abscess ro bronchiectasis
- Hemothorax- blood
- Chylothorax- lymph fluid
2
Q
Pleural effusion- Sx
A
- Diminished breath sounds, dullness to percussion
- Pleural rub
- Contralateral mediastinal shift
- Dyspnea, cough, chest pain
3
Q
Pleural effusion- Dx
A
- CXR
- Evaluate pleural fluid
4
Q
Pleural effusion- Tx
A
- Effusion or empyema- thoracentesis
- Hemothorax- chest tube
5
Q
Pneumothorax- Sx
A
- Surgical emergency
- Pleuritic chest pain
- Diaphoresis, cyanosis
- Hypotn
- Tachy
- Trachial deviation
6
Q
Pneumothorax- Dx
A
CXR
7
Q
Pneumothorax- Tx
A
- Tube thoracostomy
- Suction drainage
- Midaxilary line at nipple
8
Q
Solitary pulmonary nodule- Sx
A
- Coin lesion
- Asymptomatic, incidental finding on CXR
9
Q
Solitary pulmonary nodule-Dx
A
- Excisional biopsy to exclude malignancy
- Video assisted
10
Q
Lung abscess- Sx
A
- Insidious onset of cough, fever, dyspnea
- Malaise and wt loss
- Clubbing
- Cacheia
- Lobar consolidation
11
Q
Lung abscess- Dx
A
- CXR
- Fine needle aspirate
12
Q
Lung abscess- Tx
A
- Abx
- Percutaneous drainage
13
Q
Lung CA- Sx
A
Anorexia, wt loss
- New or changed cough
- Hemoptysis
- Pneumonia, change in voice
- Horner syndrome
14
Q
Lung CA- Dx
A
CXR, CT
- Biopsy
15
Q
Lung CA- Tx- VATS
A
- Dx and staging of malignancies
- Video assisted
- Resection of peripheral nodules
- Wedge resection
