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Bronchoscopy Indications and Findings

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Obstructive Lesion

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A bronchoscopy might be done to examine an abnormal growth or tumor that narrows the airway.

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Pulmonary Neoplasms

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Bronchoscopy can be used for visualizing and sampling tumors within the airways to confirm a diagnosis of lung cancer.

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Diffuse Alveolar Hemorrhage

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A bronchoscopy with sequential bronchoalveolar lavage can diagnose this condition, where there is bleeding into the alveoli, typically presenting with blood progressively less diluted in subsequent samples.

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Airway Stenosis

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Bronchoscopy can diagnose and sometimes treat narrowed areas in the bronchi, which can occur due to tumors, infections, or inflammatory diseases.

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Therapeutic Intervention

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Bronchoscopy can be used to perform various therapeutic procedures like laser therapy, stenting, or balloon bronchoplasty.

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Unexplained Atelectasis

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Bronchoscopy can be used to identify and potentially address causes of lung collapse that is not explained by sedation, surgery or other obvious factors.

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Hemoptysis

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Bronchoscopy is indicated for evaluating the source of blood in the sputum, potentially identifying bleeding sites within the airways.

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Suspicion of Lung Infection

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Bronchoscopy can collect samples for culture and sensitivity to identify infectious organisms like bacteria, viruses, or fungi in the lungs.

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Bronchoalveolar Lavage

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The procedure involves washing out a segment of the lung to collect cells and other components from the lining of the airways and small air sacs for analysis.

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Abnormal Chest X-ray or CT Scan

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Bronchoscopy may be performed to further investigate abnormal imaging findings that suggest underlying pathology such as masses or lymphadenopathy.

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Tracheal or Bronchial Stenosis

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Bronchoscopy can assess and sometimes treat narrowing of the major airways, which may be due to tumors, post-intubation, or chronic inflammation.

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Foreign Body Aspiration

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A bronchoscopy can be used to locate and remove foreign objects inhaled into the bronchial tree.

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Persistent Cough

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Bronchoscopy can be performed to investigate the cause of a chronic cough, which persists despite medical treatment.

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Interstitial Lung Disease

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Bronchoscopy with transbronchial biopsy can help in diagnosing interstitial lung diseases by obtaining lung tissue samples.

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