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Bronchoscopy Indications and Findings
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Bronchoalveolar Lavage
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.
Interstitial Lung Disease
Bronchoscopy with transbronchial biopsy can help in diagnosing interstitial lung diseases by obtaining lung tissue samples.
Suspicion of Lung Infection
Bronchoscopy can collect samples for culture and sensitivity to identify infectious organisms like bacteria, viruses, or fungi in the lungs.
Abnormal Chest X-ray or CT Scan
Bronchoscopy may be performed to further investigate abnormal imaging findings that suggest underlying pathology such as masses or lymphadenopathy.
Airway Stenosis
Bronchoscopy can diagnose and sometimes treat narrowed areas in the bronchi, which can occur due to tumors, infections, or inflammatory diseases.
Hemoptysis
Bronchoscopy is indicated for evaluating the source of blood in the sputum, potentially identifying bleeding sites within the airways.
Tracheal or Bronchial Stenosis
Bronchoscopy can assess and sometimes treat narrowing of the major airways, which may be due to tumors, post-intubation, or chronic inflammation.
Persistent Cough
Bronchoscopy can be performed to investigate the cause of a chronic cough, which persists despite medical treatment.
Foreign Body Aspiration
A bronchoscopy can be used to locate and remove foreign objects inhaled into the bronchial tree.
Pulmonary Neoplasms
Bronchoscopy can be used for visualizing and sampling tumors within the airways to confirm a diagnosis of lung cancer.
Therapeutic Intervention
Bronchoscopy can be used to perform various therapeutic procedures like laser therapy, stenting, or balloon bronchoplasty.
Diffuse Alveolar Hemorrhage
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.
Obstructive Lesion
A bronchoscopy might be done to examine an abnormal growth or tumor that narrows the airway.
Unexplained Atelectasis
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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