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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Histopathology
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Histopathology
|-  
|-  
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Cough/Sputum
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Cough
and
 
Sputum
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemoptysis
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hemoptysis
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Weight loss
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Weight loss
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other symptoms
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Percussion
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Percussion
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Auscultation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Auscultation
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|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary nodule|Pulmonary Nodule]](benign)
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary nodule|Pulmonary Nodule]](benign)
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
* N/A
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
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* <5 mm nodule
* <5 mm nodule
* Ground glass
* Ground glass
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |Fat in nodule
* Calcification:
 
** Central dense nidus
Calcification
** Diffuse solid
* Central dense nidus
** Laminated
* Diffuse solid
** Popcorn  
* Laminated
* Fat in nodule
* Popcorn  
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* well-defined smooth border
* well-defined smooth border
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* N/A
* N/A
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |N/A
* N/A
| style="background: #F5F5F5; padding: 5px;" |↓ O2 Sat
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pulmonary Nodule (malignant)
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pulmonary Nodule (malignant)
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |++
* Chronic cough
* Sputum +/-
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Dyspnea
* [[Dyspnea]]
* Hemoptysis
* Non resolving [[pneumonia]]
* Non resolving pneumonia
* [[Wheeze|Wheezing]]
* Wheezing
* [[Chest pain]]
* Chest pain
* [[Cachexia]]
* Abdominal pain
* [[Fatigue]]
* Cachexia
* [[Anorexia|Loss of appetite]]
* Fatigue
* [[Dysphonia]]
* Loss of appetite
* [[Dysphagia]]
* Dysphonia
* Dysphagia
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Hyporesonance
* Hyporesonance
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Normal
* Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |'''Sputum cytology'''
* Sputum cytology: Tumor cells
* Tumor cells
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Multiple small
* Multiple small
* Single > 2 cm of size
* Single > 2 cm of size
* Location:
| style="background: #F5F5F5; padding: 5px;" |Calcification
** Upper lobe especially on the right
* Amorphous
** Metastatic pulmonary nodules in lower lobes.
* Punctate
| style="background: #F5F5F5; padding: 5px;" |
* Reticular
* Calcification:
* Stippled or eccentric
** Amorphous
Cavity
** Punctate
 
** Reticular
Ulceration
** Stippled or eccentric
*  
*  
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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* Cavity lined by viable cancer cells without necrosis   
* Cavity lined by viable cancer cells without necrosis   
*   
*   
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |Biopsy and histopathological analysis
* Biopsy and histopathological analysis
|↓ O2 Sat
|
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Infection
| style="background: #DCDCDC; padding: 5px; text-align: center;" |
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
*
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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*
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Revision as of 20:36, 25 January 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2]

Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings
Symptoms Physical exam
Lab Findings Radiology Histopathology
Cough

and

Sputum

Hemoptysis Weight loss Other Percussion Auscultation CBC Sputum analysis Nodule Nodule content Other findings
Pulmonary Nodule(benign) - - -
  • Asymptomatic
  • Hyporesonance
  • Dull percussion
  • Normal
  • Normal
  • Normal
  • Single
  • Round, oval
  • <5 mm nodule
  • Ground glass
Fat in nodule

Calcification

  • Central dense nidus
  • Diffuse solid
  • Laminated
  • Popcorn
  • well-defined smooth border
  • Growth rate over 18 months
  • Cavity wall thickness of 1 mm
  • N/A
N/A ↓ O2 Sat
Pulmonary Nodule (malignant) ++ ++ ++
  • Hyporesonance
  • Dull percussion
  • Normal
  • Normal
Sputum cytology
  • Tumor cells
  • Multiple small
  • Single > 2 cm of size
Calcification
  • Amorphous
  • Punctate
  • Reticular
  • Stippled or eccentric

Cavity

Ulceration

  • Spiculated border
  • Rapid growth rate (Doubling time 1-18 months)
  • Cavity wall thickness over 15 mm
  • central necrosis
  • Cavity lined by viable cancer cells without necrosis
Biopsy and histopathological analysis ↓ O2 Sat
Diseases Cough/Sputum Cough/Sputum Weight loss Other symptoms Percussion Auscultation CBC Sputum analysis Chest X-ray CT scan Other imaging Histopathology Gold standard Additional findings
Abscess
Septic emboli
Fungi
Parasites
Mycobacterial infections
Chronic inflammatory conditions
Diseases Cough/Sputum Cough/Sputum Weight loss Other symptoms Percussion Auscultation CBC Sputum analysis Chest X-ray CT scan Other imaging Histopathology Gold standard Additional findings
Pulmonary AVMs
Pneumoconioses

References