Respiratory9 Flashcards
Lung - Physical findings Lung cancer - general
Pleural Effusion:
- Breath Sounds
- Percussion
- Fremitus
- Tracheal Deviation
Pleural Effusion:
- Breath Sounds - DEcreased
- Percussion - Dull
- Fremitus - DEcreased
- Tracheal Deviation - NONE
Atelectasia:
- Breath Sounds
- Percussion
- Fremitus
- Tracheal Deviation
Atelectasia:
- Breath Sounds - DEcreased
- Percussion - Dull
- Fremitus - DEcreased
- Tracheal Deviation - Toward Lesion
Spontaneous Pneumothorax:
- Breath Sounds
- Percussion
- Fremitus
- Tracheal Deviation
Spontaneous Pneumothorax:
- Breath Sounds - DEcreased
- Percussion - Hyperresonant
- Fremitus - DEcreased
- Tracheal Deviation - Toward Lesion
Tension Pneumothorax:
- Breath Sounds
- Percussion
- Fremitus
- Tracheal Deviation
Tension Pneumothorax:
- Breath Sounds - DEcreased
- Percussion - Hyperresonant
- Fremitus - DEcreased
- Tracheal Deviation - AWAY from lesion
Consolidation:
- Breath Sounds
- Percussion
- Fremitus
- Tracheal Deviation
Consolidation:
- Breath Sounds - Bronchial breath sounds, late inspiratory crackles
- Percussion - Dull
- Fremitus - INCREASED
- Tracheal Deviation - NONE
What is Fremitus?
Palpable vibration when coughing or talking
Which physical lung findings show tracheal deviation Toward the side of lesion?
Atelectasia
Spontaneous Pneumothorax
*Tension pneumothorax – AWAY from lesion
2 types of lung consolidation.
Lobar pneumonia
Pulmonary edema
What lung abnormality shows an INcreased fremitus?
Consolidation
T/F - Lung cancer is the leading cause of cancer death.
True
What is seen on CXR and CT in lung cancer?
CXR - Pneumonic “coin” lesion
CT - Noncalcified nodule
What is the most common cause of lung cancer?
Metastatic cancer
What cancers most often Mets to lung?
Breast
Colon
Prostate
Bladder
Where does Lung cancer Mets?
Adrenals
Brain
Bone (pathologic fracture)
Liver (jaundice, hepatosplenomegaly)
What are the common complications of lung cancer?
SPHERE of complications:
- Superior vena cava syndrome
- Pancoast tumor
- Horner’s syndrome
- Endocrine (paraneoplastic)
- Recurrent laryngeal symptoms (hoarseness)
- Effusions (pleural or pericardial)
