Thoracic - TCAR
Three stages of empyema - ANS-Exudative
Fibrinopurulent
Organizing
5 Criteria of a solitary pulmonary nodule - ANS-1. Unmarried
2. <3 cm
3. Surrounded by normal lung
4. No adenopathy
5. No pleural effusion
5-YS after resection of solitary brain met for lung cancer - ANS-20%
Accessory muscles of respiration - ANS-SCM
Levators
Serratus posterior
Scalenes
Adson's test for thoracic outlet syndrome - ANS-Decreased radial pulse with head turned
toward ipsilateral side (subclavian artery compression - arterial TOS)
Alveolar, arterial, and venous pressures in lung zones in upright person - ANS-Zone I: PA >
Pa > Pv
Zone II: Pa > PA > Pv
Zone III: Pa > Pv > PA
Anterior mediastinal tumors - ANS-T's
Thyroid
Parathyroid
T-cellular lymphoma
Thymoma
Teratoma
Cystic hygroma
Anterior structures while searching into center mediastinum with mediastinoscopy -
ANS-Innominate vein
Innominate artery
proper PA
Best diagnostic take a look at for a tracheo-esophageal fistula - ANS-Bronch - pull
tracheostomy or ETT back usually see a large hollow 1-2 cm beneath the tracheal stoma
Best diagnostic check for lung abscess - ANS-CT chest - air fluid stages
Best surgical approach for arterial TOS - ANS-Supraclavicular
Best surgical technique for neurogenic and venous TOS - ANS-Transaxillary
Blood deliver lower 2/three of trachea - ANS-bronchial arteries
Blood supply lung parenchyma - ANS-bronchial arteries
Blood supply upper 2/3 of trachea - ANS-inferior thyroid arteries
Borders of scalene triangle - ANS-SCM anterior
Trapezius posterior
Subclavian vein inferior
IJ medial
, Omohyoid advanced
Causes of huge hemoptysis - ANS-TB (MCC normal reasons bronchial and pulmonary artery
aneurysms)
Bronchiectasis (MC from cystic fibrosis, dilated bronchial arteries)
Lung abscess (bronchial arteries)
Chemotherapy for germ cell tumors of the mediastinum - ANS-Cisplatin
Bleomycin
Etoposide
Claggett technique - ANS-for bronchopleural fistula after pneumonectomy - fill put up
pneumonectomy space with permanent abx solution and bronchus coverage with intercostal
muscle flap
Criteria for high chance with solitary pulmonary nodule (four) - ANS-1. Age >60
2. Size >2.2 cm
3. Speculated
4. Present day smoker
Criteria for intermediate chance with solitary pulmonary nodule (4) - ANS-1. Age forty five-60
2. Size 1.Five-2.2 cm
three. Scalloped
4. Current smoker or end <7 years ago
Criteria for low hazard with solitary pulmonary nodule (6) - ANS-1. Age <45
2. Never smoked or quit >7 years in the past
three. Smooth lesion
4. Size <1.5 cm
5. Popcorn calcification (hamartoma) or laminated calcification (granuloma)
6. No exchange in CXR in 2 years
Diagnosis and evaluation for operability for lung most cancers - ANS-CXR
CT C/A/P
Chest MRI - pleasant for spinal wire invasion and superior sulcus tumors
Head MRI only if sx (headache)
bone test for bone pain or elevated alk phos best
Bronchoscopy
Labs (LFTs)
PET experiment
EKG (stress test if essential)
PFTs, ABG, DLCO
Diagnosis of arterial TOS - ANS-angio
Diagnosis of venous TOS - ANS-duplex U/S
Gold popular is venogram but it takes too long
Diagnosis or pleural effusions - ANS-thoracentesis and pleural bx 80% accurate (terrible for
mesothelioma)
VATS ninety five% correct
Does chemo or radiation change five-YS for lung cancer? - ANS-NO
Duration of time between publicity and development of mesothelioma - ANS-30 years
DX of lung hamartoma - ANS-chest CT
Features of lung adenocarcinoma - ANS-peripheral
gland formation
Features of lung squamous mobile carcinoma - ANS-important, necrosis, regularly causes
obstructive pneumonia or bloody sputum, stratified squamous epithelium, keratin pearls
Three stages of empyema - ANS-Exudative
Fibrinopurulent
Organizing
5 Criteria of a solitary pulmonary nodule - ANS-1. Unmarried
2. <3 cm
3. Surrounded by normal lung
4. No adenopathy
5. No pleural effusion
5-YS after resection of solitary brain met for lung cancer - ANS-20%
Accessory muscles of respiration - ANS-SCM
Levators
Serratus posterior
Scalenes
Adson's test for thoracic outlet syndrome - ANS-Decreased radial pulse with head turned
toward ipsilateral side (subclavian artery compression - arterial TOS)
Alveolar, arterial, and venous pressures in lung zones in upright person - ANS-Zone I: PA >
Pa > Pv
Zone II: Pa > PA > Pv
Zone III: Pa > Pv > PA
Anterior mediastinal tumors - ANS-T's
Thyroid
Parathyroid
T-cellular lymphoma
Thymoma
Teratoma
Cystic hygroma
Anterior structures while searching into center mediastinum with mediastinoscopy -
ANS-Innominate vein
Innominate artery
proper PA
Best diagnostic take a look at for a tracheo-esophageal fistula - ANS-Bronch - pull
tracheostomy or ETT back usually see a large hollow 1-2 cm beneath the tracheal stoma
Best diagnostic check for lung abscess - ANS-CT chest - air fluid stages
Best surgical approach for arterial TOS - ANS-Supraclavicular
Best surgical technique for neurogenic and venous TOS - ANS-Transaxillary
Blood deliver lower 2/three of trachea - ANS-bronchial arteries
Blood supply lung parenchyma - ANS-bronchial arteries
Blood supply upper 2/3 of trachea - ANS-inferior thyroid arteries
Borders of scalene triangle - ANS-SCM anterior
Trapezius posterior
Subclavian vein inferior
IJ medial
, Omohyoid advanced
Causes of huge hemoptysis - ANS-TB (MCC normal reasons bronchial and pulmonary artery
aneurysms)
Bronchiectasis (MC from cystic fibrosis, dilated bronchial arteries)
Lung abscess (bronchial arteries)
Chemotherapy for germ cell tumors of the mediastinum - ANS-Cisplatin
Bleomycin
Etoposide
Claggett technique - ANS-for bronchopleural fistula after pneumonectomy - fill put up
pneumonectomy space with permanent abx solution and bronchus coverage with intercostal
muscle flap
Criteria for high chance with solitary pulmonary nodule (four) - ANS-1. Age >60
2. Size >2.2 cm
3. Speculated
4. Present day smoker
Criteria for intermediate chance with solitary pulmonary nodule (4) - ANS-1. Age forty five-60
2. Size 1.Five-2.2 cm
three. Scalloped
4. Current smoker or end <7 years ago
Criteria for low hazard with solitary pulmonary nodule (6) - ANS-1. Age <45
2. Never smoked or quit >7 years in the past
three. Smooth lesion
4. Size <1.5 cm
5. Popcorn calcification (hamartoma) or laminated calcification (granuloma)
6. No exchange in CXR in 2 years
Diagnosis and evaluation for operability for lung most cancers - ANS-CXR
CT C/A/P
Chest MRI - pleasant for spinal wire invasion and superior sulcus tumors
Head MRI only if sx (headache)
bone test for bone pain or elevated alk phos best
Bronchoscopy
Labs (LFTs)
PET experiment
EKG (stress test if essential)
PFTs, ABG, DLCO
Diagnosis of arterial TOS - ANS-angio
Diagnosis of venous TOS - ANS-duplex U/S
Gold popular is venogram but it takes too long
Diagnosis or pleural effusions - ANS-thoracentesis and pleural bx 80% accurate (terrible for
mesothelioma)
VATS ninety five% correct
Does chemo or radiation change five-YS for lung cancer? - ANS-NO
Duration of time between publicity and development of mesothelioma - ANS-30 years
DX of lung hamartoma - ANS-chest CT
Features of lung adenocarcinoma - ANS-peripheral
gland formation
Features of lung squamous mobile carcinoma - ANS-important, necrosis, regularly causes
obstructive pneumonia or bloody sputum, stratified squamous epithelium, keratin pearls
