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Pulmonology

Explore questions in the Pulmonology category that you can ask Spark.E!

Produces the cardiac impression of the left lung

84y/o woman, munitions factory during WWII, abdominal pain, constipation, polyruria, cough, haemoptysis, weight loss, clubbing

28y/o IVDU, intermittent fevers, weight loss, raised JVP, pansystolic murmur @L sternal edge, pulsatile liver, clubbing

52y/o man, dyspnoea, clubbing, cyanosed, dyspnoea at rest, fine late inspiratory crackles bilaterally

71y/o retired electrician, pleuritic chest pain, dyspnoea, clubbing. CT = right pleural effusion, lobar pleural thickening in R mid zone

50y/o COPD lady, sudden SOB, chest pain, tachycardia, tachypnoea, cyanosis, hyperinflated chest, tracheal tug + deviation, reduced chest expansion on R

14y/o girl, nocturnal cough, worse in cold air

Lies superior to the hilum of the left lung

69y/o woman (inpatient), fever, dyspnoea, productive cough, pyrexial, tachycardia, decreased chest expansion, dull to percussion, bronchial breathing

45y/o smoker, weight loss, haemoptysis, clubbed fingers, reduced breath sound in left upper zone. CXR - left upper lobe collapse

Lies superior to the hilum of the right lung

20y/o man, sudden onset SOB, pleuritic chest pain, reduced expansion on one side, hyper-resonance, decreased breath sounds

57y/o man, weight loss, hyponatraemia. CXR = paratracheal lymphadenopathy

Normalising PCO2 in a patient having an asthma exacerbation may indicate:

30y/o man, AIDS, fever, dry cough, dyspnoea. CXR = diffuse bilateral alveolar and interstitial shadowing, starting in peri-hilar region and spreading outwards. Cause?

20y/o man, IVDU, breathlessness, cough. CXR = patchy areas of consolidation, abscess formation. Cause?`

12y/o boy, CF patient, chest infection + mild renal failure. Treatment?

Pet shop owner, high swinging fever, cough, malaise, scanty rose spots on abdo. CXR = diffuse pneumonia. Cause?

Breast cancer patient, reduced chest expansion on one side, trachae deviated to the other side

Erythema nodosum, lymphadenopathy, lung fibrosis

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