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Pulmonology - ABIM

Fleischner criteria

QuestionAnswer
What to do for a pulmonary nodule that is 4 mm or smaller? Do nothing for a low probability patient. For a high probability patient, repeat CT in one year. Stop checking if no change. Continue to follow if groundless or not solid (indolent adenocarcinoma)
What to do for a pulmonary nodule that is 4 to 6 mm? For a low probability patient, repeat CT in one year. Stop checking if no change. For a high probability patient, chest CT at one year and at two years. Then stop if no change.
What to do for a pulmonary nodule that is 6 to 8 mm? For a low probability patient, chest CT at one year and at two years. For a high probability patient, chest CT at six months, one year, and two years.
What to do for a pulmonary nodule that is greater than 8 mm? Same for high and low probability patients. Chest CT at six months, one year, and two years. Also do a dynamic contrast enhanced CT/PET/biopsy.
What is the serum plural protein ingredient? What are the values and differentials for a transudative versus an exudative pleural fluid? (serum protein) – (pleural fluid protein) = SPPG. If SPPG >3.3, more protein in the serum - transudate (CHF, Cirrhosis, Hypothyroid, Nephrosis). If SPPG < 3.1, Exudate (Pericarditis, infxn, pancreatic, esophageal perf, inflammation, SLE, RA, malig)
Created by: christinapham
 

 



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