Results of bronchoscopy performe

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					KCU – CLINIC FOR LUNG DISEASE AND TUBERCULOSIS “PODHRASTOVI” SARAJEVO BRONCHOSCOPY CABINET

BRONCHOSCOPY
Last, First Name, yr of birth: Ibrica, Elmedina, 1985 Department: P-2 Hospitalized x Ambulatory (Doctor) Referral diagnosis: Infiltratio lobi sup. Pulm. sin. Date: 4 February 2009 Prot. No. 58/09

FLEXIBLE X RIGID DIAGNOSTIC X THERAPEUTIC ANESTHESIA: LOCAL GENERAL

X

BROCHOSCOPY FINDINGS: Instrument: Olympus 1T 40 Path: Trans-oral, through tubus and mouthpiece Description: Larynx and trachea normal color and mucus looks normal. Vocal cords are slick, movable. Bifurcation of the trachea is sharp, respiratory movable. Right part of the bronchial tree is of normal color, normal looks of the mucus, and normal separation of bronchi. Left part of the bronchial tree - bronch for left upper lobe is rigidly stenoic, impassable with infiltrated surrounding mucus. Bronch for lower left lobe is free. Broncholavage, forceps and brush biopsy were performed, materials sent for analysis. CONCLUSION: Bronch for left upper lobe is rigidly stenoic, impassable with infiltrated surrounding mucus. From endoscopy aspect upper left lobectomy is possible.

Morphological Results of the Bronchoscopy (mark with an ‘X’) Chronic Inflammation Normal Acute inflammation Smooth matter Cauliflower-like matter Purulent exhudate Vegetation Eritem Infiltrative (rigid) stenosis X Edema Extramural compression Vertical pits Discrete and non-typical lesions Mucus Vertical bright lines Horizontal pits Enlarged outflow gland canals

Stenosis Fistula Antracosis

Widened carina Mucus

Traction Puss

Scar Blood

Sarcoidosis: Irregularly widened and curved capillaries of the bronchi mucosa Irregularly widened, curved capillaries of the bronchi mucosa and yellowish plaque Bronchi mucosa infiltrated with tiny knots Expressed scar changes and deformations of the bronchi mucosa Biopsies and other procedures Bronchoaspiration Broncholavage Catheter-biopsy Brush biopsy Forceps biopsy TBB Foreign body extraction Transbronchial puncture Video capture Electrocauterisation Videoprint BAL No x x x

Bronchologist Prim Dr M. Pecanac (Signed)


				
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posted:12/20/2009
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