Quit Smoking

Description

Mind Map on Quit Smoking, created by shahid alzaghari on 04/11/2017.
shahid alzaghari
Mind Map by shahid alzaghari, updated more than 1 year ago
shahid alzaghari
Created by shahid alzaghari almost 7 years ago
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Resource summary

Quit Smoking
  1. Patient: Ali, 57 years
    1. Heavy smoker (past 40 years)
      1. Chronic Bronchitis (diagnosed 8 yrs ago)
        1. Presentaion:
          1. Unexplained weight loss
            1. Hemoptysis (increased in morning)
              1. Causes:
                1. COPD
                  1. Drugs
                    1. Lung abscess
                      1. Cystic fibrosis
                        1. Lung cancer
                          1. Mitral valve stenosis
                            1. TB
                              1. Pulmonary embolism
                                1. Parasite infection
                                  1. Abdominal muscle
                                    1. Chest trauma
                                  2. Persistent productive cough
                                    1. SOB on exertion (past 3 years) and on rest (past 2 months)
                                      1. Slightly cyanosed, anxious
                                    2. Nicotine Dependence
                                      1. Diganosis:
                                        1. LUNG CANCER
                                          1. Classification and types
                                            1. Risk factors and causes:
                                              1. Occupation
                                                1. Miners
                                                  1. Heavy metal workers
                                                  2. Smoking/tobacco
                                                    1. Second-hand smoke
                                                      1. Family history
                                                        1. Radon gas
                                                          1. Aging
                                                            1. Other illness (COPD)
                                                              1. Pollution
                                                              2. Presentation:
                                                                1. Cough
                                                                  1. Weight loss
                                                                    1. Hemoptysis
                                                                      1. Pancost tumor:
                                                                        1. Horner's syndrome
                                                                          1. Ptosis
                                                                            1. Miosis
                                                                              1. Ipsilateral anhydrosis
                                                                              2. Brachial plexus involvement
                                                                                1. Cervical rib destruction
                                                                                2. Paraneoplastic syndrome
                                                                                  1. Digital clubbing
                                                                                    1. Eaton-lambert syndrome
                                                                                      1. Ectopic hormone secretion
                                                                                        1. ACTH
                                                                                          1. ADH
                                                                                            1. GH
                                                                                        2. Investigations:
                                                                                          1. Sputum cytology
                                                                                            1. Chest X-ray
                                                                                              1. will show Pleural Effusion
                                                                                                1. Classifications:
                                                                                                  1. Transudate
                                                                                                    1. Hydrothorax
                                                                                                      1. CHF
                                                                                                    2. Exudate
                                                                                                      1. Microbial Invasion
                                                                                                        1. Empyema
                                                                                                        2. Cancer
                                                                                                          1. Pulmonary Infection
                                                                                                            1. Viral Pleuritis
                                                                                                            2. Hemothorax
                                                                                                              1. Ruptured intrathoracic aortic aneurysm
                                                                                                              2. Chylothorax
                                                                                                                1. Obstruction of the major lymph ducts
                                                                                                                1. Analysis of pleural fluid
                                                                                                                  1. help diagnose the cause of accumulation of fluid
                                                                                                                    1. Done by initial test:
                                                                                                                      1. Fluid protein
                                                                                                                        1. Albumin
                                                                                                                          1. LD level
                                                                                                                            1. Cell count
                                                                                                                            1. Management:
                                                                                                                              1. Pleural drain
                                                                                                                                1. Pleurodesis
                                                                                                                                  1. Thoracocentesis
                                                                                                                                    1. Tube thoracostomy
                                                                                                                                2. CT Scan
                                                                                                                                  1. Biopsy
                                                                                                                                  2. GRADING + STAGING
                                                                                                                                    1. Grading:
                                                                                                                                      1. level of aggressiveness of a tumor
                                                                                                                                        1. classified into grades I, II, III, IV in order of increasing anaplasia
                                                                                                                                      2. Staging
                                                                                                                                        1. Assessment of the spread
                                                                                                                                      3. Treatment of lung cancer
                                                                                                                                  3. Anatomy of the posterior mediastinum
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