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Pulmonology

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

Breast cancer patient, reduced chest expansion on one side, trachae deviated to the other side
40y/o man, alcohol problems, repeated small haemoptysis, cough w/ mucoid sputum. CXR = right upper lobe consolidation + large central cavity. Diagnosis?
Drug absolutely contraindicated in Asthma
60y/o man, severe chest pain, dyspnoea, clubbing, asbestos exposure 20yr ago. CXR = unilateral pleural effusion
Small cell lung cancer usual location
Pleural effusion Increased LDH and protein
14y/o boy, repeated LRTI, finger clubbing, weight loss, steatorrhoea. CXR = bronchial wall thickening, bronchiectasis
50y/o farmer, dry cough, SOBOE, weight loss, arthralgia, clubbing. CXR = Bilateral diffuse reticulonodular shadowing @ bases
Adenocarcinoma of the lung usual location
40y/o man, cough, haemoptysis. CXR = right hilar mass, patch of consolidation in R upper lobe laterally
CXR showing hyper-lucency of lung fields and flattening of the diaphragm
60y/o man, dyspnoea, cough. CXR = extensive pulmonary fibrosis, bilateral pleural thickening + pleural calcification
63y/o homeless man to ED. 4 days of haemoptysis. 2 months of cough, weight loss, generalised weakness, ptosis, proximal weakness, diplopia
COPD: Chronic Bronchitis or Emphysema picture? * Patients may be obese * Frequent cough and expectoration are typical * Use of accessory muscles of respiration is common * Coarse rhonchi and wheezing may be heard on auscultation * Patients may have signs of right heart failure (ie, cor pulmonale), such as edema and cyanosis
COPD: Chronic Bronchitis or Emphysema picture?# Patients may be very thin with a barrel chest# Patients typically have little or no cough or expectoration# Breathing may be assisted by pursed lips and use of accessory respiratory muscles; patients may adopt the tripod sitting position# The chest may be hyper-resonant, and wheezing may be heard# Heart sounds are very distant

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