surgery for non-malignant lung disease Flashcards

1
Q

what are the causes of lung abscesses?

A
aspiration (including FB)
pneumonia
PTE
lung Ca
septic emboli
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2
Q

what happens when a lung abscess bursts and pus moves cross the visceral pleura?

A

empyema thoracis

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3
Q

what happens when a lung abcsess heals?

A

fibrosis

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4
Q

what is visible on a CXR of a lung abscess?

A

thin layer of granulation tissue with a fluid-air level in side

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5
Q

what is the treatment for a lung abscess?

A

chest drain

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6
Q

what are the symptoms of a lung abscess?

A

swinging temperature, cough, SOB

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7
Q

what are some of the causes of empyema thoracis?

A
post-pneumonic
post-operative
oesophageal
upper abdominal related
osteomyelitis
post traumatic
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8
Q

what are the surgical methods for dealing with empyema thoracis?

A

pleuractomy and decortication

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9
Q

what is pleurectomy (for empyema)?

A

operation to remove a layer of fibrous tissue from the surface of the lung

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10
Q

what is decortication (for empyema)?

A

operation to remove fibrous tissue from the inner surface of the ribs

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11
Q

what are some examples of thymic tumours?

A
thyoma
thymolipoma
thymic carcinoma
carcinoid tumours of the thymus
lymphoma
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12
Q

what are some tracheal surgeries?

A
repair of iatrogenic injury
tracheal tumours (salivary gland tumours, squamous carcinomas)
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13
Q

what are some examples of benign lung tumours?

A
hamertoma
fibroma
lipoma
neural tumours
papillimas
chondroma
carcinoid
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14
Q

what is a intrathoracic neurofibroma?

A

a benign tumour of a nerve in the thorax

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15
Q

what are the complications of a intrathoracic neurofibroma?

A

they can grow to a large size and take over the space the lung should be filling

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16
Q

what is a hamartoma?

A

a benign tumour where there is over proliferation of tissues normally found in the organ/ area of the body

17
Q

what is teratoma?

A

a tumour where there is over proliferation of tissues not expected to be found in the area of the tumour

18
Q

what is a bullous lung disease?

A

lung disease that forms large air pockets in the lung

19
Q

what is a bullous?

A

an air pocket in the lung greater then or equal 2 cm in size

20
Q

what is a bleb?

A

an airpocket in the lung less than 2 cm in size

21
Q

what are the indications for surgery of pneumothorax?

A

recurrence
persistence
after one episode (eg. if diver or pilot)

22
Q

what are the surgery options for pneumothorax?

A

pleurodhesis

pleurectomy

23
Q

when are bronchogenic cysts present from?

A

birth

24
Q

when can a bronchogenic cyst cause symptoms?

A

compression of the trachea or oesophagus

25
Q

what conditions might be treated by lung transplantation?

A

cystic fibrosis
pulmonary fibrosis
emphysema

26
Q

what are the contraindications for lung transplantation?

A
age >65
overweight
diabetic
renal failure
mental illness
poor social support