Pulmonary medicine Flashcards
Patient with pulmonary embolism symptoms. First line investigation
CXR to rule out other pathologies!!!
Before CTPA
A 68 year old woman has worsening chest discomfort over 11 days. She has a dry cough and has lost 3 kg in weight over the last 2 months. She is a non- smoker. She retired as a builder 15 years ago.
She has a temperature of 37.1°C. Both lung fields sound clear. Her chest X-ray is shown (see image).
CXR shows multiple nodules
Most likely diagnosis?
Metastatic cancer
Not mesothelioma
Lung cancer, superior vena cava obstruction. First initial treatment ?
IV dexamethasone
A 35-year-old man presents to you with symptoms of an acute exacerbation of asthma. You test his peak expiratory flow rate. This is 210 litres per minute. His usual best is 600 litres per minute.
Using his peak expiratory flow rate, which category is his asthma exacerbation stratified into?
210/600 = 35% = severe
life threatening = <33% of predicted or best
severe = 33-50%
moderate = 50-75%
75 year old woman attends GP with breathlessness on exertion and a cough productive of white sputum throughout the day. she has never had hemoptysis and has lost 2kg in weight. She descrives 2 chest infections in the past year treated with a short course of steroids and antibiotics. she has a 15 pack-year smoking history.
HR 82. CXR is normal.
most appropriate investigation to establish the diagnosis?
spirometry
A 62 year old man attends the Emergency Department following a road traffic
collision. He has severe bruising of the right upper shoulder from the seat belt,
but no other injuries.
Chest X-ray (performed to exclude a pneumothorax) shows a 2 cm mass in
the right upper zone.
CT scan of chest!! -> given the likely diagnosis of lung cancer
