Lung Cancer

Alternate Name: Bronchial Carcinoma

Test:

Sputum microscopy (+), sputum culture (N), bron-chial or node biopsy microscopy (AB), S.calcium (H with bony metastases), S.ACTH (H with oat cell form)

Sign:

Bronchial breathing, cachexia, clubbing of fin-gers, dull percussion note, Leser-Trelat sign, rhonchi, vocal fremitus

Dd:

TB, bronchitis, pneumonia, sarcoidosis, second-ary carcinoma, pituitary tumour, hyperpituitarism, thymoma, trauma

Phys:

Presenting symptoms include haemoptysis, ca­chexia, finger clubbing, osteoarthropathy, hoarseness, cough and chest pain. Oat cell carci­nomas may produce hormonal effects