First National Daily eMedical Newspaper of India
Nobody Reports News Better Than Us  
Editorial (Dr K K Aggarwal)                                                                                          (Dr RN Tandon)
To Read the full story on emedinexus.com, or download our Android app or iOS app
25th July, 2017
CT follow-up of a solitary pulmonary nodule: New recommendations
 
Finding a solitary pulmonary nodule on a chest x-ray is common and once detected, it needs to be evaluated promptly and managed because many such nodules can be malignant in nature. A large majority are picked up as asymptomatic lesions.
 
A solitary pulmonary nodule has been referred to as "coin" lesion, a nomenclature first devised by John Steel way back in the 60s. Some of its major characteristic features include solitary nature, circumscribed margins, diameter double the cross-sectional diameter of an adjacent blood vessel adjacent (1.5 cm), homogeneous density and completely surrounded by lung with no regional lymph node enlargement or satellite lesions.
 
There is a long list of conditions that are to be considered in the differential diagnosis of a solitary pulmonary nodule. The most common include lung cancer, benign lung tumor, tuberculoma, fungal granuloma, lung abscess and metastasis.
 
“Wait and Watch”, biopsy of the nodule or immediate thoracotomy are the management options. A thin slice CT (1 mm) is done to accurately describe the characteristics of the nodule and decision is taken on CT findings.

Dr KK Aggarwal
National President IMA & HCFI
To Read More or Comment, Click Here
Video Of The Day: Webcast - National Medical and Wellness Tourism Board-follow-up action

Read the full story on emedinexus.com, or download our Android app

Username - Your Email Id

Password - emedi123

Top News
Practice Updates
American Academy of Pediatrics releases guidance for obesity-related metabolic risks
YAG laser vitreolysis safe and effective for symptomatic vitreous floaters
Patients with RA at high cardiovascular risk
Study suggests delayed implant rather than immediate post-Mastectomy
A noninvasive urine test to predict recurrence of bladder cancer
Some DVT patients may need shorter compression stocking time: IDEAL DVT
Multiple renal cancer susceptibility polymorphisms modulate the HIF pathway
Engineered extracellular matrices with controlled mechanics modulate renal proximal tubular cell epithelialization
Detection of microRNA Expression in Peritoneal Membrane of Rats Using Quantitative Real-time PCR
Prognostic value of copeptin in chronic kidney disease: from general population to end-stage renal disease
Targeting miR-21 decreases expression of multi-drug resistant genes and promotes chemosensitivity of renal carcinoma
 
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.
Webcasts 
Lifestyle Updates
 
Inspirational Story 1: The King's Teeth
Lack of knowledge about hemophilia in India, IMA
Though it is not a disorder that kills, adequate care must be taken to curtail bleeding in any form.
 
New Delhi, 24 July 2017: According to a recent study, about half of the world's hemophilia population lives in India. Further, about 70% of those with this disorder don’t have adequate knowledge or access to treatment. Apart from this, there are about 16,000 registered patients suffering from hemophilia in the country. However, studies indicate that the number could be seven times more. 
 
A genetic and life-threatening bleeding disorder, in hemophilia, the blood does not clot normally due to the absence of clotting proteins called factors, when there is an injury or a cut. Provided care is taken, recurrent and prolonged bleeding into joints and muscles can even lead to permanent disability and at times, death.
To Read More or Comment, Click Here
Online Survey