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Bronchoscopy

Bronchoscopies


Presentation

  • It usually presents as bilateral multiple nodular lesions. We report a middle-aged woman with a unique presentation of PEH with lung lobar collapse. The diagnosis was made with fibreoptic bronchoscopy rather than video-assisted thoracoscopy.[ncbi.nlm.nih.gov]
  • In our case report, a 25-year-old man presented with a mass-like lesion in the upper and middle lobe of the right lung. The patient had deteriorated clinically as the mass like opacity grew in size.[ncbi.nlm.nih.gov]
  • We present a case of a 56-year-old North American man who presented with a fluorodeoxyglucose-avid pulmonary nodule and sought a second opinion after being recommended thoracotomy with lobectomy.[ncbi.nlm.nih.gov]
  • A 63-year-old man presented with intermittent, progressively worsening dyspnoea associated with cough and blood-tinged sputum.[ncbi.nlm.nih.gov]
  • Of these patients, only one was positive for a foreign body present in the airway. The remaining 15 children were found to have a negative direct laryngoscopy and bronchoscopy evaluation for a foreign body.[ncbi.nlm.nih.gov]
Soft Tissue Mass
  • We reported a patient with a soft-tissue mass in the right hilum area on a chest computed tomography (CT) scan that was suspected of being lung cancer. Bronchoscopy identified sparganum larvae.[ncbi.nlm.nih.gov]
  • X-rays and computed tomography scan of the chest revealed an irregular pedunculated soft tissue mass within the tracheal lumen. The mass occupied over 90% of the lumen and caused severe tracheal stenosis.[ncbi.nlm.nih.gov]
Amyloidosis
  • Primary tracheobronchial amyloidosis (TBA) is a rare disease characterized by extracellular focal or diffuse submucosal deposits of amyloid proteins.[ncbi.nlm.nih.gov]
Chest Discomfort
  • Here, we report the case of a 33-year-old woman who presented with hemoptysis and chest discomfort and was diagnosed with a hydatid cyst by fiberoptic bronchoscopy.[ncbi.nlm.nih.gov]
Plethora
  • INTRODUCTION: Patients with haematological malignancies usually have a plethora of respiratory complications. Bronchoscopy is one of the most important procedures used to diagnose respiratory complications.[ncbi.nlm.nih.gov]
Left Ventricular Dysfunction
  • Takotsubo cardiomyopathy is a transient left-ventricular dysfunction that typically occurs in elderly women due to emotional or physical stress. An 85-y-old woman underwent flexible bronchoscopy to evaluate her malignant lymphoma.[ncbi.nlm.nih.gov]
Neglect
  • Neglected foreign body was seen in five patients. CONCLUSIONS: Non-resolving pneumonia is often an area of clinical dilemma. Bacterial infections are the commonest etiology.[ncbi.nlm.nih.gov]
Poor Coordination
  • As poor coordination of children, the procedure is usually performed under general anesthesia with spontaneous or controlled ventilation to increase children and bronchoscopists' safety and comfort.[ncbi.nlm.nih.gov]
Tonic-Clonic Seizure
  • After flexible bronchoscopy, she experienced takotsubo cardiomyopathy diagnosed by left ventriculography and subsequent generalized tonic-clonic seizure diagnosed by electroencephalography.[ncbi.nlm.nih.gov]
Agitation
  • Group D subjects were the most sedated (P .013), whereas group A subjects were the least agitated. Linear regression showed a negative association between bronchoscopy score and age in A (β -0.06; P .001).[ncbi.nlm.nih.gov]
Encephalopathy
  • Magnetic resonance imaging of her brain after 1 d showed post-convulsive encephalopathy. We believe that these 2 consecutive incidents were caused by the physical stress of the flexible bronchoscopy.[ncbi.nlm.nih.gov]

Workup

Cavitary Lesion
  • The cavitary lesions worsened 2 years after clarithromycin monotherapy. Bronchoscopy was performed to observe the interior of the cavity.[ncbi.nlm.nih.gov]
  • In this report, we present 3 distinct clinical scenarios where UT bronchoscopy was successful in diagnosing benign peripheral cavitary lesions after standard techniques failed.[ncbi.nlm.nih.gov]
Pericardial Effusion
  • Specimens included cerebrospinal fluid, pleural effusion, abdominal fluid, and pericardial effusion. From RNA, target regions (EGFR, KRAS, ALK fusion and RET fusion) were enriched by RT-PCR and sequenced with MiSeq.[ncbi.nlm.nih.gov]
Mediastinal Shift
  • MATERIALS AND METHODS: A 24 year-old female, Gravida 2, Para 1, was referred at 27.5 weeks with a large fetal left lung mass with marked right mediastinal shift and no visible normal left lung.[ncbi.nlm.nih.gov]
Paragonimus Westermani
  • The peripheral nodule was biopsied using ENB and pathologic evaluation of the lesion demonstrated parasitic eggs with features of Paragonimus westermani. No evidence of malignancy was found.[ncbi.nlm.nih.gov]

Treatment

  • He then underwent treatment with hyperbaric oxygen with a full and complete neurologic recovery. Review of other cases reported in the literature suggests improved neurologic outcomes with hyperbaric oxygen treatment.[ncbi.nlm.nih.gov]
  • This is a rare case in which treatment efficacy of M. avium infection was directly observed by serial bronchoscopy.[ncbi.nlm.nih.gov]
  • BACKGROUND: Early diagnosis and treatment of lower respiratory tract infections are the mainstay of management of lung disease in cystic fibrosis.[ncbi.nlm.nih.gov]
  • Patients were evaluated by CT and fiber-optic bronchoscopy to determine the feasibility of the implantation of radioactive seeds for the treatment of cancerous large airway stenosis. The treatment planning system (TPS) was used to plan the doses.[ncbi.nlm.nih.gov]
  • The radiographic abnormalities resolved after treatment with praziquantel.[ncbi.nlm.nih.gov]

Prognosis

  • “The earlier we can start treatment, the better the prognosis.” Bronchoscopy can often be used to either confirm the diagnosis of lung cancer or establish an alternative diagnosis.[nydailynews.com]

Etiology

  • However, the etiology of the pneumothorax remained unclear. We presume that cough-related increase in intrathoracic pressure might have led to interstitial air dissection and bilateral pneumothorax.[ncbi.nlm.nih.gov]
  • Bacterial infections are the commonest etiology. Non-infectious causes like tracheobronchomalacia and foreign body aspiration are other important etiologies to be looked for.[ncbi.nlm.nih.gov]
  • It is a rare condition with multiple etiologies. We describe a case of a "black bronchoscopy" due to severe soot deposition as a result of smoke inhalation during a household fire in a 71-year-old woman.[ncbi.nlm.nih.gov]
  • In this study, eight patients with subglottic stenoses due to different etiologies are presented who underwent fiberoptic bronchoscopy and therapeutic interventions through laryngeal mask.[ncbi.nlm.nih.gov]
  • Indications for Flexible Fiberoptic Bronchoscopy Procedure Indication Diagnostic Abnormal chest radiograph: To diagnose the etiology of pneumonia* in an immunocompromised patient; in an immunocompetent patient with recurrent or nonresolving disease; or[msdmanuals.com]

Epidemiology

  • McCormack, Epidemiology of Rare Lung Diseases: The Challenges and Opportunities to Improve Research and Knowledge, Rare Diseases Epidemiology: Update and Overview, 10.1007/978-3-319-67144-4_24, (419-442), (2017).[doi.org]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
Sex distribution
Age distribution

Pathophysiology

  • The procedure may prove useful in the differential diagnosis and in the potential treatment of different fetal lung lesions, as well as aid in the understanding of the role of bronchial obstruction as a common pathophysiologic mechanism for different[ncbi.nlm.nih.gov]

Prevention

  • UT bronchoscopy can prevent the need to pursue more invasive open lung strategies to diagnose suspicious lesions.[ncbi.nlm.nih.gov]
  • […] and Kapodistrian University of Athens, Athens, Greece. 10 Dept of Paediatric Anaesthesia and Intensive Care, Meyer Children Hospital, Respiratory Endoscopy Unit, Florence, Italy. 11 European Lung Foundation, Sheffield, UK. 12 Institute of Social and Preventive[ncbi.nlm.nih.gov]
  • A local anesthetic will be sprayed into your nose and mouth to prevent gagging when the bronchoscopy tube is passed through your mouth.[summitmedicalgroup.com]
  • This prevents fluid from reaccumulating around the lung. Indwelling pleural catheter. A pleural catheter is an alternative to pleurodesis for treatment of a recurrent pleural effusion.[webmd.com]
  • In this Cleveland Clinic Advanced Diagnostic Bronchoscopy Workshop, our expert presenters will discuss the most recent diagnostic tests and procedures along with how they can be used to prevent delays in diagnosis and to eliminate more invasive tests[clevelandclinicmeded.com]

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