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30 Cards in this Set
- Front
- Back
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What are considered N1 nodes
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ipsilateral hilar
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What are considered N2 nodes
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ipsilateral mediastinal
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What are considered N3
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contralateral hilar
contralateral mediastinal scalene nodes supraclavicular nodes |
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Are spiculations indicative of aggresive lesions
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yes
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What percent of pt who undergo lung biopsy get a pneumothorax
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20%
(5-10% will require a chest tube) |
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What are 3 other complications of a lung biopsy besides calcification
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hemoptysis
bacterial seeding air embolism |
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What type of metastatic disease will cause dense calcification with in the chest
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osteosarcoma
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Can alveolar microlithiasis cause extensive calcification of the lung parenchyma
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yes
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What is cannonball mets?
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several large rounded bulky mets
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What typically causes cannon ball mets
5 |
colon cancer
renal cancer testicular/ovarian cancer osteosarcoma (calcifies) |
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What is the acrynom for lytic rib lesions
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FAME
fibrous dysplasia ABC Mets/Myeloma (plasmacytoma) Enchondroma and also hyperparathyroid causing a brown tumor |
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What is a plasmacytoma
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a focal mass of plasma cells associated with multiple myeloma
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Where does a plasmacytoma typically present
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in the bone forming an expansile lytic lesion
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Besides a lytic bone lesion what are additional ways a plasmacytoma may present
2 |
tracheal mass, pulmonary nodule
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What are 5 potential masses that can arise from a pt with an immune deficiency
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PTLD (post transplant lymphoproliferative disease)
pulmonary lymphoma kaposi sarcoma bronchogenic carinoma mass like infection |
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Are bronchogenic carcinomas typically more aggresive in an immune compromised patient
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yes
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What is a condition you have to worry about following a transplant
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post transplant lymphoproliferative disease
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What is a condition that can cause a lung mass that may occur in a patient with AIDS
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kaposi
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Can there be an peripheral intraparencymal lymphoma mass
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yes
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What is the classic appearance of kaposi sarcoma
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flame shaped nodule with hazy borders
Note: if pt has kaposi in the lungs they probably have mucocutaneous disease also |
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What is wegeners granulomatosis
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systemic vasculitis
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How does wegeners appear in the lungs
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multiple nodulels or masses with cavitations
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What other parts of the body does wegners predominately effect
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sinus and kidneys
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What is the ddx for a chronic consolidation
7 |
pna (tb or CAP)
lipoid pna BOOP eosinophilic pna sarcoid silicosis BAC |
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What is the name of the conglomeration of nodules found in sarcoid
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the galaxy sign
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What is sarcoid
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CVD with non-caseating granuloma
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What is the classic distribution of the nodules in sarcoid
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perilymphatic
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What part of the lung does sarcoid favor
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upper lobes
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What is the golden S sign
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this is distal atelctasis beyond a hilar mass which is causing central obstruction
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What neurologic condition is associated with pancoast tumors
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horners syndrome (superior sympathetic nerve involvement)
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