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29 Cards in this Set

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Post op predicted FEV1, FCV, DLCO
FEV1>0.8 (40%) (best)
DLCO>11-12 (50%)
FCV>1.5L
MC site of mets for lung CA
brain
Overall 5YSR for lung CA
10% without op 30% with
MC lung CA
adenoCA
non small cell CA chemo
carboplatin, taxol
small cell CA chemo
cisplatin, etoposide
Indications for meds
N2, N3 nodes
does not assess AP nodes
additional study for centrally located lung CA?
bronchoscopy
Lung carcinoid
usually central
5% mets
50% symptoms
90% 5YSR
Management of hamartomas
no need to resect
Thymomas
all need resection
50% mal
50% sx
50% w/ MG
10% MG have thymomas
80% improve with thymectomy even without thymomas
3 phases of empyema and management
exudative (1st week) CT
Fibroproliferative (2nd week) CT
Organized (3rd week) decortication +/d Eloesser flap
where does thoracic duct cross?
T4-5
Management of chylothorax
3-4 weeks conservative therapy
if not, ligate TD on right side if 2/2 trauma/iatrogenic
if malignant, mechanical/chemical pleurodesis
Rate of recurrence for spon PTX
1st 20%
2nd 60%
3rd 80%
Surgery for spon ptx
recurrence
large blebs
persistent air leak
nonre-expansion
high risk profession
VATS, blebectomy, mechanical pleurodesis
bronchiogenic cysts
posterior to carina
abnl lung tissue outside lung
needs resection
intralobar vs extralobar sequestration
Disconnected lung tissue in lung with anomalous blood supply
extralobar (children, systemic venous drainage)
intralobar (adults, pulmonary vein drainage)
management of sequestration
lobectomy
Solitary pulm nodule with history of sarcoma/melanoma vs head/neck/breast
mets vs primary
GI/GU could be either
resect primary before mets
Problem with tension PTX
impaired venous return
Surgery for clotted hemothorax
>25% lung
air fluid levels
signs of infection
white out on xray
midline shift away from white out means collpased lung (needs bronch)
away from means effusion --> CT
no shift --> CT chest
TB treatment
ING, rifampin, pyrazinamide
Management of malignant pleural effusion
talc pleurodesis
Exudative effusion (protein, SG, LDH ratio
>3
>1.016
>0.6
decreased glucose
Airway fires
stop gas
removed ETT
reintubate for 24 hours
bronchoscopy
Hemoptysis + neurologic events
Osler-Weber-Rendu disease
AVMs --> embolize
MC benign/mal chest wall tumor?
Osteochondroma
chondrosarcoma