Phys Clinical Cases · respiratory
Lung Cancer — DCE Clinical Case
DCE short-case station: respiratory examination in suspected lung cancer — clubbing, supraclavicular node and lobar collapse signs — with presentation template, differentials and probing questions.
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Target exams
FRACP DCEMRCP Part 2
Prompt
DCE short-case station: respiratory examination in suspected lung cancer — clubbing, supraclavicular node and lobar collapse signs — with presentation template, differentials and probing questions.
Approach — what the examiner is watching
This is a targeted respiratory examination with malignancy in the differential from the first second: the marks are in finding the peripheral clues deliberately (hands, face, nodes) before the chest, and in presenting a unifying diagnosis with a next step, not a laundry list [1].
References3ShowHide
- [1]Pelosof LC, Gerber DE Paraneoplastic syndromes: an approach to diagnosis and treatment Mayo Clin Proc, 2010.PMID 20810794
- [2]Wilson LD, Detterbeck FC, Yahalom J, et al. Clinical practice. Superior vena cava syndrome with malignant causes N Engl J Med, 2007.PMID 17476012
- [3]Nicholson AG, Scagliotti G, Tsao MS, et al. 2021 WHO Classification of Lung Cancer: A Globally Applicable and Molecular Biomarker-Relevant Classification J Thorac Oncol, 2022.PMID 36031295