Pre PACES Podcast #55 Lung surgery
14 snips
Feb 26, 2023 Dr. Aranthakrishnan Raghuram, a renowned respiratory medicine consultant, shares his expertise on lung surgery in the PACES exam. He explains why lung surgery is commonly tested, focusing on the interpretation of surgical scars and essential inspection techniques. Raghu advises on palpation methods, differentiating lobectomy from pneumonectomy, and the importance of clear presentation in assessments. He emphasizes practical tips for success, including managing time effectively and confidently addressing typical cases.
AI Snips
Chapters
Transcript
Episode notes
Find And Interpret Scars Carefully
- Inspect thoroughly anteriorly and posteriorly for scars including axilla and back; lift arms or reposition obese patients.
- If you see a scar, offer a cautious differential and stop; wait for examiner prompts before committing.
Handle VATS Scars With Caution
- Expect VATS scars laterally and comment that they could represent previous procedures without overcommitting.
- Offer a differential but avoid definitive statements unless certain.
Do Expansion From End-Expiration
- Palpate chest expansion starting from end-expiration with thumbs opposed and take a maximal breath in to compare sides.
- Prioritise back expansion checks; one good front exam often mirrors the back but the back gives two chances.