Respiratory

Question 1

Lobectomy causes

Question 2

Upper lobe fibrosis

Question 3

Staging of Lung cancer

Answer 3

stage1 - <4cm, no LN spreads or local structure
stage 2- 4-7cm, 2x areas in same lobe, no LN,
stage 3- spread to LN, >1 lobe, invading local structures including chest wall/ rib/ pleura.
stage 4- mets outside chest/ other lung/ pleural effusion/ pleural or pericardial spread

Question 4

Lung cancer investigations

Question 5

Paraneoplastic syndromes of lung cancers

Answer 5

Small cell-

Adenocarcinoma-

Question 6

Types of lung cancer

Question 7

Pneumonectomy causes

Question 8

Clubbing differentials

Answer 8

Cardio:

• Infective endocarditis
• cyanotic congenital heart disease
• atrial myxoma

GI:

• IBD
• cirrhosis
• GI lymphoma

Resp:
lung cancer (not small cell)
chronic suppurative- CF, bronchiectasis, abscess, empyema
firbosis
mesothelioma

Other

• thyroid acropachy
• hereditary

Question 9

Lobectomy vs pneumonectomy

Answer 9

Lobectomy- lung sounds on affected side normal or reduced. trachea usually central. normal percussion.
Pneumonectomy - absent lung sounds. trachea deviated. percussion dull.

Question 10

COPD therapy

Question 11

Bilateral lobectomy differential

Answer 11

2x lung cancer (would be NSCLC)
bilateral LVRS/ bullectomy
bilateral apical pleurotomies for pneumothoraces (if female/ signs of tuberous sclerosis consider LAM as underlying aetiology)
Older pt consider tuberculosis

• LAM= Lymphangioleiomyomatosis. presents in females age 35. basically cystic lung disease

Question 12

Hollistic lung cancer things to add to plan

Answer 12

CNS details to contact
Chemo helpline if applicable
Psychology
Charities