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Flashcards in Surgical Management of Lung Cancer Deck (65)
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1

What is the assessment of the patient used to determine?

Staging of the lung cancer

Fitness of the patient

2

What needs to be determined to stage lung cancer?

T, N and M status

3

What are common clinical findings in the history for lung cancer?

Pain (especially bone pain)

Headaches or neurological symptoms including personality change

Haematuria (presence of red blood cells in the urine)

4

What is haematouria?

Presence of red blood cells in the urine

5

What is presence of red blood cells in the urine called?

Haematuria

6

What are common clinical findings in the examination with lung cancer?

Recurrent laryngeal nerve palsy

Brachial plexus palsy

Superior vena cava obstruction (SVCO)

Supraclavicular lymph nodes

Soft tissue nodules

Chest wall masses

Pleural/pericardial effusion

Hepatomegaly (enlarged liver)

7

What is hepatomegaly?

Abnormally enlarged liver

8

What is abnormally enlarged liver called?

Hepatomegaly

9

What can chest X-rays be used to determine?

Pleural effusion

Chest wall invasion

Phrenic nerve palsy

Collapsed lobe or lung

10

What is pleural effusion?

Build of of excessive fluid between the pleura

11

What is the build up of excessive fluid between the pleura called?

Pleural effusion

12

What are some tests that are useful for staging cancer other than CT?

MRI

Bone scan

ECHO (echocardiogram)

13

What does ECHO stand for?

Echocardiogram

14

What is an echocardiogram (ECHO)?

Ultrasound scan used to look at the heart and nearby blood vessels

15

What is MRI useful for?

Determine degree of vascular and neurological involvement

16

What test is best for determining the degree of vascular and neurological involvement?

MRI

17

What is bone scan useful for?

Test for chest wall invasion and for bony metastasis

18

What test is best for checking chest wall invasion or bony metastasis?

Bone scan

19

What is an echocardiogram (ECHO) useful for? 

Demonstrate presence or absence of significant pericardial effusion

20

What test is best for demonstrating the presence or absence of pericardial effusion?

Echocardiogram (ECHO)

21

What is used for the surgical staging of lung cancer?

Bronchoscopy

Mediastinoscopy

22

What is the fitness for surgery determined by?

Clinical assessment

23

What systems are looked at during the clinical assessment to determine if someone is fit for surgery?

Cardiovascular

Respiratory

Psychological

Other

24

What, in terms of the cardiovascular system, is check when determining fitness for surgery?

Angina

Heart problems

High blood pressure

Diabetes mellitus

Peripheral vascular disease

Smoking

Stroke

Carotid bruits

Heart murmors

25

What is angina?

Chest pain due to not enough blood flow to the heart

26

What is chest pain due to not enough blood flow to the heart called?

Angina

27

What is carotid bruits?

Vascular murmur sound (bruit) heard over the carotid artery

28

What is a vascular murmur sound heard over the carotid artery called?

Carotid bruits

29

What is a heart murmur?

Unusual sound heard between heart beats

30

What is an unusual sound heard between heart beats called?

Heart murmur