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SOLITARY PULMONARY NODULE TREATMENT

SOLITARY PULMONARY NODULE

solitary pulmonary nodule is defined as a discrete, well-marginated, rounded opacity less than or equal to 3 cm in diameter that is completely surrounded by lung parenchyma, does not touch the hilum or mediastinum, and is not associated with adenopathy, atelectasis, or pleural effusion.

SYMPTOMS OF SOLITARY PULMONARY NODULE

  • Dyspnea
  • cough
  • hemoptysis
  • wheezing
  • chest pain
  • weight loss
  • fever
  • night sweats

Past history of: rheumatologic screen, past travel history, occupational exposures, medical history (smoking, lung cancer or othermalignancies, TB, infections, rheumatoid arthritis),

SIGNS OF SOLITARY PULMONARY NODULE

  • weight loss
  • clubbing
  • cyanosis
  • Horner’s syndrome
  • Lymphadenopathy
  • abdominal examination(hepatomegaly)
  • bony tenderness.

DIAGNOSIS OF SOLITARY PULMONARY NODULE

  • INVESTIGATIONS - CBC, Electrolytes, urea, Cr, LDH, AST, ALT, ALP, bilirubin, INR, PTT)
  • CXR
  • CT chest
  • SPECIAL ABG SCREENING FOR INFLAMMATORY DISORDERS - ESR, CRP, ANA, ANCA BIOPSY bronchoscopy or
  • PET/CT SCAN if moderate to high suspicion of lung cancer

HOMOEOPATHIC MANAGEMENT OF SOLITARY PULMONARY NODULE

  • Calcarea Carb
  • Thuja occ
  • Calcarea flour
  • Ruta g
  • Cobaltum Muriaticum
  • Ionized Radiation
  • Anthemis Nobilis