×
MedSchool: Ace Your OSCEsThe Medical Company
 
 
 
 
 
GET - On the App Store
View
Respiratory Exam
 
 

Lung Cancer

 
 
 
Bookmark

Overview

  • Signs of Lung Cancer

  • General Signs

  • Oxygen
  • Respiratory distress - tachypnoea, pursed lip breathing, accessory muscle use, intercostal / subcostal recession
  • Cough
  • Sputum - purulent, bloody
  • Lymphadenopathy - cervical, supraclavicular, axillary
  • Signs of Complications

  • Pleural effusion - dull percussion note, reduced breath sounds, reduced vocal resonance
  • Laryngeal nerve involvement - hoarse voice, dysphonic cough
  • SVC obstruction - facial swelling, plethora, upper limb oedema, positive Pemberton’s sign
  • Pancoast tumour - Horner’s syndrome (partial ptosis, miosis, anhydrosis), wasting of the small muscles of the hand
  • Hypertrophic pulmonary osteodystrophy
  • Signs of Management

  • Scars - from lobectomy or pneumonectomy
  • Radiation tattoos

Pathogenesis

  • Risk Factors for Lung Cancer

  • Genetic factors
  • Smoking (active or passive)
  • Air pollution
  • Occupational exposure - asbestosis, silicosis,
  • Chronic scarring - interstitial lung disease, tuberculosis, COPD
  • Alcohol

Complications

  • Complications of Lung Cancer

  • Pleural effusion
  • Metastases - brain, liver, adrenal, bone
  • Local compression - SVC obstruction, sympathetic chain compression (Pancoast tumour) , laryngeal nerve palsy, phrenic nerve palsy, brachial plexopathy
  • Paraneoplastic syndromes - hypercalcaemia, SIADH, Cushing’s, hypertrophic pulmonary osteoarthropathy, neurologic syndromes
Next Page
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Want more info like this?
  • Your electronic clinical medicine handbook
  • Guides to help pass your exams
  • Tools every medical student needs
  • Quick diagrams to have the answers, fast
  • Quizzes to test your knowledge
Sign Up Now
   
 
 

Snapshot: Initialising...