core exam flip jk amorosa. name 5 causes of ptx 1.spontaneous most common 2.copd 3.chronic cystic...
TRANSCRIPT
Core Exam Flip
JK Amorosa
Name 5 causes of ptx
• 1.Spontaneous most common
• 2.COPD
• 3.Chronic cystic lung disease such as
LAM, histiocytosis
• 4.Mets
• 5.Catamenial ptx
Rad signs of tension ptx
• 1.Contralateral mediastinal shift
• 2.Diaphragmatic depression
• 3.Rib cage expansion
• 4.Flattening of the contours of the R
heart border and /or SVC
Nodule
• 1.Spiculated margins
• 2.Squamous cell ca
• 3.T1 mass size
• Best method of Dx
Pleural plaques are seen in people who have worked in
• 1.Mining
• 2.Insulation
• 3.Ship building
• 4.Brake lining
Pleural plaques
• 1.Unilateral
• 2.Symptomatic
• 3.Premalignant
Emphysema
• 1.Overinflation
• 2.Reduced vascularity
• 3.Flattening of diaphragms
• 4.Best imaging method: HRCT
Tracheal stenosis, etiologies:• -trauma, most common: following prolonged ET, Sx,
radiation
• -chronic inflammatory diseases (amyloidosis, sarcoidosis,
relapsing polychondritis),
• -benign neoplasm (respiratory papillomatosis),
• -malignant neoplasm (primary tracheal, secondary
invasion, metastatic)
• -collagen vascular diseases (tracheopathia osteoplastica,
Wegener granulomatosis). • Wenzel emedicine
Miliary pattern
• 1.TB, fungal, silicosis, sarcoidosis,
met thyroid or melanoma
• 2.How does it disseminate:
hematogenously
Pulmonary contusion occurs
• 1.Early: within 6 hours
• 2.Later: within 7 day
• 3.Resolves within 6 hours
• 4.Resolves within 7 days
Pulmonary Laceration
Mesothelioma
• 1.More than 1 cm thick
• 2. circumferential
• 3.involves mediastinal surface
• 4.Nodular
Mesothelioma, pleural calcifications seen in
• 1.50%
• 2.20%
• 3.75%
• 4.80%
Pneumothorax on supine image
• 1.Hyperlucent upper abdominal
quadrant
• 2.Double diaphragmatic contour
• 3.Deep sulcus sign
Anterior junction line is made up of how many pleural layers
• 1. 2
• 2. 4
• 3. 6
Posterior junction line
• 1. Extends above the clavicles
• 2. Does not extend above the
clavicles
Which is seen more frequently?
• 1.Anterior junction line
• 2.Posterior junction line
ARDS
• 1.Clinical dx of acute respiratory
failure with profound hypoxia and
lung parenchymal opacities on chest
X-ray
ARDS causes
• 1.Trauma
• 2.Sepsis
• 3.Aspiration
• 4. Inhaled toxins
• 5. Drug overdose
• 6.Transfusion
Cavity
• 1.Reactivation TB
• 2.Squamous cell ca
• 3.Vasculitis
• 4.Granulomatous
Right cardiophrenic mass
• 1.Pericardial cyst
• 2.Pericardial fat pad
• 3. Morgagni’s hernia
• 4.Lipoma
• 5.Thymolipoma
• 6.Epicardial lymphnodes
Cystic Fibrosis Inheritance Pattern
• 1.Autosomal recessive
• 2.Autosomal dominant
Treatment of hemoptysis for invasive aspergillosis
• 1.Surgical resection
• 2.Bronchialartery embolization
RLL andLLL segmentsRLL
• ALPM (anterior,
lateral, posterior,
medial)
LLL
• ALP (anteromedial,
lateral, posterior)
Anterior mediastinal mass
• Most common: thymic origin
Thymic mass
• 1.Thymoma – most common
• 2.Thymic hyperplasia
• 3. Thymolipoma
• 4.Thymic cyst
• 5.Thymic carcinoma-metastasizes
hematogeneously
• 6.Thymic carcinoid
Subcarinal mass
• 1.Subcarinal LN
• 2.Bonchogenic cyst
• 3.Left atrial enlargement
Pneumomediastinum
• Decubitus image will show layering?