Thoracic & Transplant Flashcards
Common causes of exudative pleural effusion
Autoimmune (sarcoidosis), chylothorax, infections, malignancy, pancreatitis
Most common cause of chronic mediastinitis
Histoplasmosis
Most common primary malignancy to metastasize to the lung
Colorectal cancer
Which cells become necrotic in early stages of ARDS
Type I pneumocytes
Decreased UOP, elevated Cr, and extremity edema 6w after renal transplant
Vascular thrombosis or lymphocele
Most common cause of oliguria 24-48hr after renal transplant
Vascular thrombosis
Most common cause of oliguria 4-6wks after renal transplant
Lymphocele
Indications for repair of thoracic aortic aneurysm >4.5cm
Unexplained chest pain or undergoing aortic valve surgery
Indications for repair of thoracic aortic aneurysm >5cm
Bicuspid aortic valve
Marfan syndrome or vascular Ehlers Danos
Most common benign tumor of the lung
Hamartoma
CT of lung mass: hypodense, homogenous, well-defined stable
Lipoma
CT of lung mass: large (>2cm), spiculated, growing, invasive, part solid
NSCLC
CT of lung mass: rapid growth, lymphadenopathy, SVC obstruction, necrosis/hemorrhage
Small cell lung cancer
Management of hidradenitis that has failed oral/topical abx
Adalimumab or infliximab (TNF-a inhibitors)
Mechanism of hyperacute graft rejection
Preformed recipient antibodies against donor antigens
Minimum DLCO for lung resection
60%
Minimum FEV1 for pneumonectomy
2L
Minimum FEV1 for lung lobectomy
1.5L
Minimum FEV1 for lung wedge resection
0.8L
Minimum VO2 max for lung resection
15L/kg/min
Minimum postoperative lung capacity after lung resection
40%
Most common anterior mediastinum tumor
Thymoma
Transplant med associated with poor wound healing
Sirolimus