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15 Cards in this Set
- Front
- Back
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A coin lesion is found on CXR for 50 year old smoker. what is the chance of malignancy?
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50 year old with coin lesion has 50% chance of malignancy.
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Describe Radiographic appearance: 1. granulomas, 2. benign hamartomas 3.bulls eyes
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1. granuloma (calcified), 2. hamartomas (popcorn), 3.bullseye is benign,
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Mases simulating malignancy, Radiographic Associations: 1.Actinomycosis, 2. Histoplasmosis, 3. coccidiomycosis, 4. Blastomycosis, 5. Cryptococcosis
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1. dental abcess, chest wall involvement. 2. concentric calcified. 3. thin wall cavity with air fluid level 4. chronic skin ulcers, 5. Imcomp, meningeal involvement,
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For NSCLC, what is the treatment for each stage?
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Stage I and II - surgery, III and IV - chem and radiation
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45 year old patient presents with midback pain and in the ulnar are of elbow. Denies cough or SOB. Despite NSAIDS, progressively worsenting with signs of Horner's syndrome on PE and vague apical haziness on CXR. Diagnosis? Treatment?
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Diagnosis: Pancoast Tumor, Treatment: irradiation over 6 weeks at the area and surgical resection of the involved chest wall and lung
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Horner's Syndrome
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ptosis, anhydrosis, and miosis
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25 year old athletic young woman, non smoker, presents with recent cough and SOB. She also noticed flecks of blood in sputum. CXR revels parital collapse of RUL of lung. Diagnosis? Testing? Treatment?
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Diagnosis: bronchial adenoma. Testing: CT and bronchoscopy. Treatment: lobectomy
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Pleaural effusion in an older patient without CHF signifies?
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cancer until proven otherwise, specifically mesothelioma or bronchiogenic carcionoma
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Treatments for persistent or recurrent pneumothorax include?
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Thorascopic bleb excsion or pleurodesis
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70 year old develops pneumonia, receives abx, and her condition improves. One week later, she notes increased pain in her chest, cough, and feer. A CXR reveals pleural effusion. Diagnosis? Treatment? Beware?
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Diagnosis: Empyema, Treatment: ABX, evacuate pus, reexpand lung with chest tube drain. Beware loculation bc then thoracotomy and decortication
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What bypass graft has the best conduit patency?
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internal mammary artery
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Define the difference between mechanical and tissue heart valve replacements.
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Mechanical- longer lasting but thrombogenic, Tissue- no anticoagulation but deteriorate faster.
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With heart transplant, what often occurs years out as a form of chronic rejection.
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accelerated coronary artery atherosclerosis.
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W55 year old woman with regurgitation of chewed food with long h/o dysphagia, fetid breath, coughing, choking but no abdominal symtposms. Diagnosis? Testing? Treatment?
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Diagnosis: Achalasia or Zenker (pharyngeal) Diverticulum. Testing: Ba swallow or UGI; Treatment: transect the cricopharyngeal muscle
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Cancers in the upper 1/3 of esophagus are normally? Treatment of cervical and upper 1/3?
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upper 1/3 - SCC; Treatment: chemoirradiation
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