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