Anbananthan, K (2012) The Role of Fiberoptic Bronchoscopy in evaluating causes of Undiagnosed Pleural Effusion. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: The role of Fiberoptic bronchoscopy in the investigation of pleural effusion is not well defined. Although the inclusion of bronchoscopy as a part of routine evaluation of all such patients is frequently advocated, evidence to support this is sparse. In an attempt to clarify the role of Fiberoptic bronchoscopy in the investigation of undiagnosed pleural effusion a study was conducted to evaluate the diagnostic merits of Fiberoptic bronchoscopy. AIMS AND OBJECTIVES : To evaluate the diagnostic merit of Fiberoptic bronchoscopy in evaluating the causes of undiagnosed pleural effusion. MATERIALS AND METHODS: An observational study involving 110 individuals, both males and females, coming to the outpatient department of Institute of Thoracic medicine & Madras Medical College, with diagnosis of pleural effusion, between January and September 2011.All eligible and consenting patients were subjected to routine investigations and pleural fluid analysis. In patients who had exudative pleural effusion and initial investigations were inconclusive, Pleural biopsy and Fiberoptic bronchoscopy were done and specimens were sent for microbiological, cytological and histopathological analysis. RESULTS : Among 110 patients with pleural effusion, after initial work up, diagnosis was made in 43 (39.09%)patients. In the remaining 67 patients, 3 patients were not willing for bronchoscopy. Out of 64 patients whose diagnosis was not made by initial work up, FOB was useful in making diagnosis in 18 (28.1%) cases. Pleural biopsy helped in diagnosing 26 (40.62%) cases. CONCLUSION : Fiberoptic bronchoscopy is useful in patients with exudative effusion still undiagnosed after pleural fluid cytology and biopsy and with parenchymal abnormalities on chest skiagram or with hemoptysis.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Fiberoptic Bronchoscopy ; Undiagnosed Pleural Effusion. |
| Subjects: | MEDICAL > Tuberculosis and Respiratory Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Feb 2018 17:10 |
| Last Modified: | 06 Mar 2018 12:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5913 |
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