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24 Cards in this Set

  • Front
  • Back
Squamous Cell Carcinoma characteristics
Central
Cavitation on CXR
hyper-Calcium d/t PTHrR
Smoking
What is the 5-year survival rate for lung cancer patients?
14%

85% of pts with SCLC have extensive disease at time of presentation and most die within 2 years.
Which sequelae is Large Cell Carcinoma of the lung associated with?
Gynecomastia
Which sequela are associated with small cell carcinoma?
SIADH

Peripheral neuropathy
CXR signs of asbestosis
Calcified pleural plaques

Interstitial fibrosis
CXR signs of berillyosis
Hillar adenopathy

Insterstitial fibrosis

Similar to sarcoidosis
What is the criteria for continuous or intermittent oxygen therapy in COPD?
PaO2<55 mmHg
Or
O2 sat <88%
Or
PaO2 55-59 + cor pulmonale + polycythemia
What is the TX for COPD?
1) Inhaled B-agonist albuterol bronchodilators + anti-cholinergic ipratroprium bromide
2) Inhaled corticosteroids budesonide and fluticasone
4) Theophylline if 1 and 2 dont work
3) O2
4) Influenza vaccine annually + strep pneum vaccine every 5-6 years
What is a good screening test for obstruction in COPD?
peak expiratory flow <350 L/min
What is the TX for acute exacerbation in COPD?
1) B-agonist albuterol + anticholinergics
2) Systemic corticosterioids IV methylprednisone
3) broad-spectrum antibiotics, Azithromycin
4) Supplemental O2 for sat >90%
5) BIPAP or CPAP
6) intubation/mechanical ventilation if necessary
Hallmarks of Mycoplasma Pneumonia?
1) CXR out of proportion to clinical findings
2) Headache
Hallmarks of Legionella Pneumonia?
1) Bradycardia
2) Headache and stupor
3) Hyponatremia
Antibiotic of choice in ages 3 weeks - 3 months for CAP?
Azithromycin
Antibiotic of choice in 1 year with CAP?
Amoxicillin
What years is C. Pneumonia seen in the outpatient clinic?
Up to age 4
Cause of blood-streaked purulent sputum?
Bronchitis
Cause of chronic copious sputum production?
Bronchiectasis
Hemoptysis + acute onset of pleuritic chest pain and dyspnea?
Pulmonary Embolism
Definition of hemoptysis?
>600mL of blood in 24 hours
Which lung cancer has strongest association with pulmonary scars/fibrosis?
Adenocarcinoma
Which lung cancers have early mets?
Small cell

Adenocarcinoma --> CNS, bones, and adrenals
Differentiate between pleural effusion and pneumonia
PE
- DECREASED tactile fremitus
- if large enough, causes tracheal deviation

Pneumonia
- INCREASED tactile fremitus
When is a CT scan recommended for lung cancer?
Adenocarcinoma
Large cell carcinoma

primary tumor >3cm
CXR of sillicosis
Eggshell calcifications

- bilateral hillar lymph node calcifications