Sandbox:Trusha

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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