Pre PACES Podcast #55 Lung surgery
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.
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Why Lung Surgery Stations Appear Often
- PACES stations favour common, clinic-followed conditions rather than exotic cases.
- Identify pre-op, peri-op and post-op clues from scars and examination to infer diagnosis and management.
Begin With End-Of-Bed Inspection
- Start every station with a deliberate end-of-bed inspection and position the patient for adequate exposure.
- Count respiratory rate, check oxygen, tracheal position and chest movement before moving closer.
Spot Tracheal Shift And Trail Sign
- Look for tracheal shift and the 'trail sign' on inspection to detect mediastinal movement.
- Use breathing observation to compare chest movement between sides before palpation.