Pulmonary Flashcards
Most common benign lung tumor
Pulmonary Hamartoma (Mesenchymeoma)
Well circumscribed, calcified “coin lesion” or “popcorn calcification”
Pulmonary Hamartoma (Mesenchymeoma)
Pulmonary Hamartoma is suspected, definitive Dx will be done by
FNA
Mobile “Fungus Balls” on imaging
Aspergilloma
Sx of Pulmonary Hamartoma (Mesenchymeoma) include
nothing, they are typically ASx
b/l hilar LAD +Sx of lung, skin, eyes, liver
Sarcoidosis
\+Smoker \+SIADH \+HypONA \+Lung Cancer Dx?
Small Cell Lung Cancer
\+Smoker \+HypeRCA \+HypONA \+Lung Cancer Dx?
Squamous Cell Carcinoma
Pt present w/ linear opacities in lung bases, interstitial fibrosis, and pleural plaques. MCC is
Asbestosis
Egg shell calcifications on CXR indicate
Coal Miner Dz or Silicosis
Eggshell calcifications + nodular opacities in upper lung. MCC
Silicosis or Coal Miner Dz
Diffuse infiltrates w/ hilar LAD. Tx w/ steroids
Berylliosis
+Asthma +P-ANCA +Eosinophil +Lesions of Heart, Lung and Skin. Dx is ..
Churg-strauss
Tx lung abscess w/ this Abx
Clindamycin
Tx/Rx that cause/add to interstitial lung Dz (honeycomb) is
Ventilators Amiodarone Bleomycin Busulfan Nitrofurantoin Radiation
Exudative plural effusion needs one of the following:
Transudative need all to be false.
LDH effusion/serum >.6
LDH Pleural >.66 (~332) over max LDH Serum (~200)
Protein effusion/serum>.5
Pleural fluid glucose >50, Thoracotomy tube is indicated in this type of effusion
parapneumonic
Pleural effusion associated w/ neoplasm is usually this type
exudative
Histology shows spherules w/ endospores. MCC
Coccidioidomycosis
Pt w/ HypOTN, Seizures, and alcoholisms. PE: +tachycardia, +febrile, decreased breath sounds w/ cavitary infiltrate and an air fluid level in the upper lobe. Dx?
Lung abscess
Pt w/ CP, wide QRS and CKD should be treated w/
Ca Gluconate.
Definitive Tx is Hemodialysis
This treatment modality has a direct effect on morbidity and mortality in COPD pts
Oxygen Therapy
Discrete unilateral patchy infiltrate in the one lobe only. Usually bacterial
Lobar Pneumonia
Patchy infiltrate of upper and lower lobes, some b/l
Bronchpneumonia
Patchy or diffuse infiltrate in the interstitium, usually viral
Interstitial pneumonia
MCC of ARDS
Sepsis
Noncaseating granulomas w/ b/l Hilar LAD
Sarcoidosis
Depression of ipsilateral diaphragm w/ contralateral mediastinal deviation indicate …
Tension pneumothorax
Before starting Amiodarone for AFib, get a _______ d/t risk of ________
CXR
Pulmonary Fibrosis
