The greatest advantage of fine needle aspiration is safety. Fatal complications like systemic air embolism , haemorrhage or pericardial tamponade have been described. However, pneumothorax remains the most common complication of CT-guided lung FNAC. Review of the existing literature reveals variable rates of pneumothorax, ranging from 5 to 64% . Pneumothorax was noted in 36.2% patients of my study population. In three patients (5.2%) moderate pneumothorax was seen requiring chest tube placement. It was found that the amount of lung traversed by the needle & size of the lesion is significantly associated with development of pneumothorax. The more the amount of the lung tissue traversed by the lesion the more was the complication rate and the …show more content…
Size of the lung masses of inadequate sample groups (37.7±5.3) were significantly smaller statistically (p value=0.01) compared to the group where sample was adequate (54.69±3.49). This is in agreement with the study by Guimarães et al In this study, lesions with diameters equal to or larger than 40 mm supplied larger amounts of adequate material for analysis than lesions with diameters of less than 40 mm. This study also stated that the superior lobe lesions supplied a proportionally larger amount of adequate material for analysis when compared with other locations. However this finding was not noted in my study. Layfield et al. reported that the location of thoracic lesions affect the sample adequacy of CT guided FNAC of the lung lesions, with peripheral and larger lesions providing more adequate sample. However Yankelevitz et al. & Guimarães et al23 both showed that the distance between the lesion and the pleural surface did not influence the probability of obtaining adequate sample. In my study also, there was no statistically significant difference in obtaining adequate material between the peripheral and deep seated
| This is important because we need to look at the relevant data and realize that she seems to be in distress and first take care of that. Also realize that she seems to have an infection. With this information we are able to prioritize
This patient present to the hospital with dyspnea on exertion, dizziness, and pulmonary hypertension. She is a former smoker; she quit the habit in 1980. She underwent a chest CT which showed 4 nodules. There was an 8 mm nodule in the right lower lobe, a 4 mm nodule in the left lower lobe, a 4 mm one in the right middle lobe, and a 4 mm in the left upper lobe. The patient had also already had a right middle lobe wedge resection where a 3.2 centimeter atypical carcinoid was found. A wedge resection is when a triangular shaped slice of tissue is removed. Usually a tumor is taken, and a small amount of normal tissue around it.
Pt received AP diameter X-ray to confirm tube placement and to see if there were any kind of infiltrates because of possible aspiration and to eliminate possible pneumothorax and pleural effusion. Findings included mild patchy infiltrates in the right upper to middle lobes. The left lower lobe also has some similar findings but less concerning. This may either be due to lung infection or pulmonary
There's also other scans such as a ventilation perfusion scan, this looks for blood clots along the pathway to the lungs. Other
70% of her right lung is collapsed and is not taking part in gas exchange
CT of chest and neck without IV contrast given the long history of smoking and the fullness in the neck of the left side.
Some of the most expensive, physically painful and emotionally difficult treatments available are those which try to discover whether a patient has some form of cancer. Because of the emotional toll such a diagnosis can have for the individual, it is especially necessary to ensure comfort during the procedure. In the case of lung lesions, mediastinoscopy has long been the treatment of choice because it gives the physician a clear diagnostic picture of what is happening to the patient. However, there is an alternative that has been used in recent years that may prove more cost-effective and less troublesome to the patient. Endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) is a procedure in which the ultrasound serves as a guide for the more invasive procedure
Chest radiograph is first diagnostic imaging modality for evaluating mediastinal masses that can detect the presence of a mediastinal mass. Lateral chest radiograph can identified and localized the mediastinal mass. Further assessment using cross sectional imaging such as computed tomography or MRI is essential to affirm the location and accurately characterize the mediastinal mass. CT scan is superior for defining the location, size, nature and organ involvement by the tumors. CT scan is most often used due to its widespread availability and its capacity to assess both lung and airway abnormalities. MRI is the favored in the assessment of posterior mediastinal tumors that associated with intraspinal extension. It can also help to describe
To evaluate pleural abnormalities and to guide thoracentesis and other related procedures, such as insertion of pleural drainage catheter and fine needle aspiration biopsy of pleural or sub-pleural lung mass, portable ultrasound devices are used at the bedside. Ultrasonography is always helpful to differentiate between free and loculated pleural effusions and between loculated effusions and solid masses. Thoracentesis in cases of loculated pleural effusions is facilitated by ultrasound guidance. Thoracic ultrasound is helpful in confirming the presence of a small pleural effusion.
According to recent studies at Indiana Universty School of Medicine, alternative methods for detecting non-small cell lung cancer are emerging. The current methods of detecting NSCLC may be effective, but they are also very expensive. One method called a low-dose computed tomography (LDCT) has been successful in identifying malignant tumors. However, routine LDCT screenings would result in 1.3 to 2 billion dollars nationally in health care costs annually. Deig, Mendonca, and Lautenschlaeger suggest that pursuing other methods of screening for NSCLC would significantly decrease this cost. If screenings could be conducted in a cost efficient and effective manner, then the expensive LDCT procedure would only have to be conducted for patients who
About a year ago, I came home from work one night and walked into the kitchen to where my mother was standing. There was a feeling of uneasiness and the panic began to clench my stomach. She looked so sad, so stressed; maybe it was the frizzy hair, the bags beneath her eyes, the way her back slouched in a low negative curve, or her eyes. Her eyes looked at me before she turned them away, but in that fragment of a second, it’s almost like I could look inside her narrow eyes and search until I would come upon this thing. This thing has no name, but it scares her. She wouldn’t exactly explain to me what it was but I felt the sudden movements of uncertainty with the way she shifted her body and
The objective of this study was to determine the accuracy of chest US in diagnosing CAP compared with chest radiography. Patients and methods The present study was carried out on 62 patients (28 males and 34 females), their age ranged from 25 to 80 years with
Decompression sickness refers to injuries resulting from a rapid decrease in the surrounding pressure from being in either water or air. Decompression sickness arises from dissolved gasses coming out of solution into bubbles inside the body on depressurization. Because of the decrease in pressure, bubbles of gases form within the tissues of the body causing DCS.
Respiratory Therapy is a health profession that specializes in Cardio Pulmonary functions and health. Respiratory therapists help with prevention, assessing patients, treatment, diagnostic evaluation, education, and care. They treat patients from all ages, from babies to the elderly. The requirements in becoming a Respiratory Therapist are taking Human Anatomy, Chemistry, Pharmacology, Microbiology, and Mathematics at a high school or college level. To begin the Respiratory Therapy Program out of high school you have to have a C or better in Chemistry, Anatomy, Algebra 2 minimum, and English. If these courses were not taken in high school, they would need to be taken at the college level to complete the prerequisites to apply for
Respiratory disease is a term which encompasses a wide range of diseases that effect the lungs. Examples of respiratory diseases include, but are not limited to: asthma, tuberculosis and lung cancer (US National Library of Medicine, 2016). Lung diseases are classified as either obstructive or restrictive.