BREAST

Localisation
Anatomy
Topography
Physical examination

Inspection ( peau d’orange)

Palpation
Imaging examinations
Ultrasound
Mamography ( galactography )
MRI
 Biopsy

FNA
CORE
SURGICAL (wire guided biopsy)
SPECIMEN MAMOGRAPHY
TUMOR MARKERS

CA 15-3
CEA
THYROID GLAND

Localisation
Anatomy
Function
Physical examination

Inspection
Palpation
Laboratory tests

TSH, T3, T4
ATPO ; Tireoglobulin

PTH ; Ca (total, ionizied)

Imaging examinations

ECHO ( Color Doppler )

Radioisotope SCAN J131
BIOPSY
FNA
Surgical
Thoracic clinical
investigations
Anatomy
Topography
 SYMPTOMS
DISPNEA
COUGH (dry, productive, haempthisys, haemoptoe)
PAIN
HYPERVENTILATION ( alkalosis and hypocalciemia)
CYANOSIS ( low PaO2 – 6,7 ; low SaO2 75% )
 PHYSICAL EXAMINATIONS

Inspection
Palpation ( fremitus pectoralis )
Percution ( dull, resonant, hyperresonant, timpanic)
Auscultation
Imaging examinations
X – ray ( chest, lung ; A-P and L-L )
Ultrasound
CT
MRI
Pet CT
ENDOSCOPY
Bronchoscopy
Mediastinoscopy
thoracoscop[y
Radioisotope SCAN Tc99

Ventilation
Perfusion
Functional tests
Spirometry
Body pletismography
Aretrial blood gas
Cardiovascular function

EKG
Ultrasound
TUMOR MARKERS

NSCLC : CEA, CYFRA-21, SCCA

SCLC : ProGRP, NSE
Periferial Vascular Investigations

Arterial
Venous
 Arterial

Inspection
Palpation
Auscultation
ECHO color Doppler
Angiography
CT angiography
 VENOUS
Inspection
Palpation
ECHO color Doppler
Phlebography
Venous radioisotope SCAN