Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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 |
