Pulmonary nodule history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Solitary pulmonary nodule}} | {{Solitary pulmonary nodule}} | ||
{{CMG}} | {{CMG}}{{AE}}{{MV}} | ||
==Overview== | ==Overview== | ||
Pulmonary nodules are generally [[asymptomatic]]. In some cases, [[Patient|patients]] may develop non-specific [[Symptom|symptoms]], such as [[Dyspnea|difficulty breathing]], [[hemoptysis]], [[chronic cough]], [[Wheeze|wheezing]], and [[chest pain]]. Obtaining a detailed history is an important aspect of making a [[diagnosis]] of solitary pulmonary nodule. Specific areas of focus when obtaining history include previous [[infection]] of [[tuberculosis]], previous or current [[smoking]] history, history of [[Immunology|immunological]] conditions, high occupational risk profession, or recent traveling. | |||
==Symptoms== | ==History and Symptoms== | ||
=== History === | |||
*Specific areas of focus when obtaining history are outlined below:<ref name="pmid11899115">{{cite journal |vauthors=Kaerlev L, Teglbjaerg PS, Sabroe S, Kolstad HA, Ahrens W, Eriksson M, Guénel P, Gorini G, Hardell L, Cyr D, Zambon P, Stang A, Olsen J |title=The importance of smoking and medical history for development of small bowel carcinoid tumor: a European population-based case-control study |journal=Cancer Causes Control |volume=13 |issue=1 |pages=27–34 |year=2002 |pmid=11899115 |doi= |url=}}</ref> | |||
:*Age | |||
:*[[Family history]] of [[cancer]] | |||
:*Personal history of [[cancer]] | |||
:*Positive history of active/passive [[smoking]] | |||
::*Number of [[Cigarette|cigarettes]]/year | |||
::*Number of years/months of active [[smoking]] | |||
::*Number of years/months of [[passive smoking]] | |||
::*Number of years/months since [[smoking cessation]] | |||
:*Previous [[infection]] of [[tuberculosis]] | |||
:*Previous or current [[lung disease]], such as: | |||
::*[[Chronic obstructive pulmonary disease|Chronic obstructive pulmonary disease (COPD)]] | |||
::*[[Interstitial lung disease]] | |||
===Common Symptoms=== | |||
*The majority of pulmonary nodules are [[asymptomatic]] and are usually found incidentally. | |||
*The [[hallmark]] of [[malignant]] pulmonary nodule is [[chronic cough]], [[weight loss]], and [[hemoptysis]]. | |||
*Common [[Symptom|symptoms]] that may be suggest towards pulmonary nodule include:<ref name="Hamilton">{{cite journal | last =Hamilton | first =W | coauthors = Peters TJ, Round A, Sharp D | title =What are the clinical features of lung cancer before the diagnosis is made? A population based case-control study | journal =Thorax | volume =60 | issue=12 | pages =1059–1065 | publisher = BMJ Publishing Group Ltd. | date =Dec 2005 | pmid =16227326 }}</ref><ref name="canadian">Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on February 24, 2015</ref> | |||
:*[[Dyspnea|Difficulty breathing]] | |||
:* [[Hemoptysis]] | |||
:*[[Chronic cough]] | |||
:* [[Wheezing]] | |||
:* [[Chest pain]] | |||
:* [[Abdominal pain]] | |||
:*[[Cachexia|Weakness and wasting]] | |||
:* [[Fatigue]] | |||
:*[[Loss of appetite]] | |||
:*[[Dysphonia|Difficulty speaking]] | |||
==References== | ==References== | ||
Latest revision as of 17:19, 28 June 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Pulmonary nodules are generally asymptomatic. In some cases, patients may develop non-specific symptoms, such as difficulty breathing, hemoptysis, chronic cough, wheezing, and chest pain. Obtaining a detailed history is an important aspect of making a diagnosis of solitary pulmonary nodule. Specific areas of focus when obtaining history include previous infection of tuberculosis, previous or current smoking history, history of immunological conditions, high occupational risk profession, or recent traveling.
History and Symptoms
History
- Specific areas of focus when obtaining history are outlined below:[1]
- Age
- Family history of cancer
- Personal history of cancer
- Positive history of active/passive smoking
- Number of cigarettes/year
- Number of years/months of active smoking
- Number of years/months of passive smoking
- Number of years/months since smoking cessation
- Previous infection of tuberculosis
- Previous or current lung disease, such as:
Common Symptoms
- The majority of pulmonary nodules are asymptomatic and are usually found incidentally.
- The hallmark of malignant pulmonary nodule is chronic cough, weight loss, and hemoptysis.
- Common symptoms that may be suggest towards pulmonary nodule include:[2][3]
References
- ↑ Kaerlev L, Teglbjaerg PS, Sabroe S, Kolstad HA, Ahrens W, Eriksson M, Guénel P, Gorini G, Hardell L, Cyr D, Zambon P, Stang A, Olsen J (2002). "The importance of smoking and medical history for development of small bowel carcinoid tumor: a European population-based case-control study". Cancer Causes Control. 13 (1): 27–34. PMID 11899115.
- ↑ Hamilton, W (Dec 2005). "What are the clinical features of lung cancer before the diagnosis is made? A population based case-control study". Thorax. BMJ Publishing Group Ltd. 60 (12): 1059–1065. PMID 16227326. Unknown parameter
|coauthors=ignored (help) - ↑ Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on February 24, 2015