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Absite Killer Cardiothoracic
self explanatory
39
Medical
Professional
01/22/2014

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Term
Spinal level at which IVC passes through diaphragm
Definition
T8
Term
Spinal level at which esphoagus passes through diaphragm
Definition
T10 (along with vagi)
Term
Spinal level at which thoracic duct passes through diaphragm
Definition
T12
Term
Spinal level at which aorta passes through diaphragm
Definition
T12
Term
Function of Type I pneumocyte
Definition
Gas exchange
Term
Function of Type II pneumocyte
Definition
produce surfactant
Term
More abundant pneumocyte
Definition
type I
Term
Pre-op PFTs for:
# pneumonectomy
# lobectomy
# wedge
Definition
# FEV1 > 2 L
# FEV1 > 1 L
# FEV1 > 0.6 L
Term
Post-op predicted PFTs for thoracic surgery
Definition
FEV1 > 0.8
Term
Lung CA a/w PTHrP
Definition
SCC
Term
Lung CA a/w ACTH
Definition
Small cell
Term
Lung CA a/w ADH
Definition
Small cell
Term
Tumor staging of lung CA
Definition
# T1 < 3 cm
# T2 > 3 cm
# T3 invasion of chest wall, pericardium, diaphragm, < 2m rom carina
# T4- unresectable- into mediastinum, heart, great vessels, esophagus, trachea, vertebra, effusion
Term
Nodal staging of lung CA
Definition
# N1- ipsilateral hilar
# N2- ipsilateral mediastinal
# N3- unresectable, contralateral, scalen or subclavian nodes
Term
Stageing of lung CA
Definition
# stage 1: T1 or T2, N0
# stage 2: T2, N1
# stage 3a: T1-3 or N2
# stage 3b: unresectable T (T4) or N3
# stage 4: M1
Term
definition of Pancost tumor
Definition
# involvement of sympathetic chain (Horner's) and/or ulnar nerve
Term
Incidence of thymomas in myesthenia gravis
Definition
10%
Term
Affect of thymectomy on myesthenia graves
Definition
# resection improves improves 90% even if no thymoma
Term
Likely diagnosis of a "popcorn" lesion on CXR
Definition
hamartoma
Term
Nerve most commonly involved in thoracic outlet syndrome
Definition
Ulnar nerve
Term
Recurrence rates for spontaneous PTX
Definition
# 50% recur
# 75% of those recur
Term
Indications for thoracoscopy in spontaneous PTX
Definition
# for 1st recurrence or persistant air leack
Term
Pan-systolic murmur a few days s/p MI
Definition
VSD from RCA infarct
Term
MCC of SVC syndrome and management
Definition
Lung Ca (~90%) XRT
Term
Takayasu arteritis
# population affected
# method of dx
# structures involved
Definition
# young females
# angiography
# Thoracic aorta, abdominal aorta, Pulm Artery
Term
Tissue valve vs. prosthetic
Definition
# tissue does not last as long, but no need for ACTx
Term
Absolute indications for tissue valve
Definition
# pregnant or who may become pregnant
# contraindication to ACTx
# any tricuspid replacement
Term
MCC of mitral stenosis
Definition
Rheumatic fever
Term
MCC of non-iatrogenic chylothorax
Definition
# posterior mediastinal tumor (75% lymphoma)
Term
Management of chylothorax
Definition
# NPO and TPN x 2 wks
# if persistant, R thoracotomy and ligation
Term
Anatomic relationships of the thoracic duct
Definition
# enters chest with Ao on right at T 12
# crosses to the left at T4
# empties into L SCV and jxn of L SCV and L IJV
Term
Indications for operating on a thoracic aoritic aneurysm
Definition
# > 6 cm or symptomatic
Term
Leading cause of death in the US
Definition
CAD (2x cancer)
Term
Indications for CABG
Definition
# intractable symptoms
# > 50 % left main dz
# triple vessel dz
# 70 % LAD + 1 other vessel
Term
Patency of angioplasty and CABG
Definition
# 20% restenosis of angioplasty by 1 yr
# vein graft has 80% 5-yr patency
# IMA graft has 95 % patency at 20 yrs
Term
Natural history of VSD
Definition
# 50 % close on their own
# Repair if symptomatic or failur to thrive
Term
Management of PDA
Definition
# Indomethacin
# if persistant, ligate at 6 mos
Term
Purpose of an intra-aortic baloon pump
Definition
# increase coronary blood flow and reduces after load by inflating during diastole
Term
Timing of inflation of the IABP baloon
Definition
# inflates 40 msec before T waves
# deflates with every P wave
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