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Condition Info
ConditionName
Lung cancer
ConditionDescription
Symptoms
Chest pain; SOB; Cough (most common symptom); hemoptysis; history of cigarette smoking; history of pneumonia, PE, wheeze; Pleuritic chest pain; Fatigue; Weigh loss; Fever; Frequent pulmonary infections Hoarseness – metastatic cancer already; Horner syndrome (Miosis, Ptosis Anhidrosis);
PhysicalFindings
Normal examination or diminished breath sounds over tumor and dull percussion sound over tumor; Lung Effusion
ClinicalTests
Chest xRay; Spiral CT of chest (screening test); Upper ab ST; Bronchoscopy with biopsy; CXR or CT: pulmonary nodule; Follow by bronchoscopy with FNA; Sputum cytology; Effusion drainage and cytology; Is cancer respectable? CT, MRI, PET scan – elevate glucose uptake check; Pulmonary function test before the surgery;
RiskFactors
Smoking history; Asbestos exposure; Radon, radiation therapy; Chromium, arsenic, nickel exposure;
IsRedFlag
IsNPLEX
Consequence
Hormone producing tumors - ACTH: Cushing's syndrome; PTH: Hyperparathyroidism; Insulin: hyperglycemia; ADH: SIADH; Somatostatin: flushing diarrhea;
ProgressionFromCondition
TreatmentOptions
Stop smoking! Helps to prevent lung cancer
PharmOptions
Non small and localized: Surgery +/- radiation +/- chemo Small cell: chemo
WebLink
https://www.merckmanuals.com/professional/pulmonary-disorders/tumors-of-the-lungs/lung-carcinoma
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