COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 777

Article download: 194

IP Indian Journal of Immunology and Respiratory Medicine


Role of CT scan chest and fiber optic bronchoscopy in evaluating patients with hemoptysis and normal chest radiograph


Full Text PDF Share on Facebook Share on Twitter


Author Details : Tenneti Poornima, Monisha Silla, Uppaluri S. Anand Swaroop

Volume : 2, Issue : 3, Year : 2017

Article Page : 82-85


Suggest article by email

Abstract

Introduction: To study the role of CT scan chest and fiber optic bronchoscopy in evaluating patients with hemoptysis and normal chest radiograph.
Materials and Method: 50 patients over the age of 15 years having hemoptysis with normal chest X ray in a government teaching hospital in Andhra Pradesh were taken as study subjects. They were evaluated using FOB and CT thorax. Other investigations were done when necessary.
Results: The mean age of the study population was 44.5 ± 13.5 years with age ranging from 20yrs to 80yrs. Of them 28(56%) were males and 22 (44%) females. Out of 50 such patients, a definitive diagnosis could be established in 33 patients (66%) with commonest being tuberculosis (12/50, 24%), followed by acute bronchitis (11/50, 22%), bronchiectasis (7/50, 14%), aspergilloma (2/50, 4%), malignancy (1/50,2%). CT scan is more efficacious in establishing a diagnosis of bronchiectasis than bronchoscopy (P < 0.05) while bronchoscopy is more sensitive in making a diagnosis of bronchitis than CT scan (P < 0.05). There was no statistically significant difference between CT scan and bronchoscopy (P > 0.05) in diagnosing PTB in patients with hemoptysis and normal CXR. CT scan solely diagnosed 30% cases with bronchoscopic findings being normal. While FOB solely diagnosed 28% cases with CT features being normal. In 8% cases both modalities established the diagnosis.
Conclusions: Overall, there was no statistically significant difference (P > 0.05) between CT scan and bronchoscopy in diagnosing the underlying cause of hemoptysis. Therefore, CT scan and bronchoscopy are equally important and complementary to each other in establishing diagnosis in a patient with hemoptysis and normal chest radiograph.

Keywords:
Fiber Optic Bronchoscopy; CT-chest; Expectoration; Hemoptysis

How to cite : Poornima T, Silla M, Swaroop U S A, Role of CT scan chest and fiber optic bronchoscopy in evaluating patients with hemoptysis and normal chest radiograph. IP Indian J Immunol Respir Med 2017;2(3):82-85

Copyright © 2017 by author(s) and IP Indian J Immunol Respir Med. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)