Cough investigations

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Cough investigations

  1. 1. INVESTIGATIONS
  2. 2. RESPIRATORY CAUSE• 1- Examination of sputum• 2- Radiology of chest• 3-Bronchoscopy• 4-Broncho alveolar lavage• 5- Lung biopsy• 5- pulmonary function tests
  3. 3. NON RESPIRATORY CAUSECVSX-Ray CT MRI ECGGERD Barium meal
  4. 4. EXAMINATION OF SPUTUM Inspection Microscopy microbiological Examination
  5. 5. 1-INSPECTIONColourSmellQuantity
  6. 6. • Viscid & yellow * a/c bronchitis * Bronchiectasis * Lung abscess
  7. 7. • White & Mucoid * c/c bronchitis * Bronchial Asthma * Pulmonary Tuberculosis
  8. 8. • Rusty sputum * pneumonia
  9. 9. • Cursch-man’s spirals Bronchial asthma Allergic bronchopulmonary aspergillosis
  10. 10. • Watery & blood stained sputum * Pulmonary edema
  11. 11. • Blood in sputum [hemoptysis]*TB, *Pneumonia,*Bronchiectasis, * Lung abscess,*Mitral Stenosis, *Bronchogenic carcinoma
  12. 12. • Chocolate coloured sputum * Amoebiasis
  13. 13. Foul smell• c/c suppurationbronchiectasis lung abscess
  14. 14. 2-MICROSCOPY• Wet preparations entamoeba, paragonimus• Wet staining wt methylene blue malignant cells• Gram’s staining bacterial pathogens
  15. 15. • Ziehl – Neelsen Staining * mycobacteria  50,000/ml- sputum positive *at least 2 bacilli *at least 100 fields
  16. 16. • Papanicolaou stain * cytological abnormalities * identify malignant cells * demonstrate bronchial casts
  17. 17. 3-MICROBIOLOGYCulture of sputumDrug sensitivity
  18. 18. RADIOLOGY OF CHEST• PA view chest investigation of choice• Lateral viewlobar/segmental pathology• Anterior oblique view abnormality of heart [atrial & ventricular enlargement]
  19. 19. TB- pulmonary nodule
  20. 20. Advanced b/l TUBERCULOSIS
  21. 21. PULMONARY MASS
  22. 22. LUNG CANCER
  23. 23. LUNG ABSCESS
  24. 24. Rt basal consolidation & pleural effusion
  25. 25. Rt upper lobe consolidation
  26. 26. Rt lower lobe consolidation
  27. 27. TOTAL LUNG COLLAPSE
  28. 28. MEDIASTINAL SHIFT IN PULMONARY COLLAPSE
  29. 29. PULMONARY FIBROSIS
  30. 30. Lung cavitation
  31. 31. CYST
  32. 32. Coin lesion
  33. 33. Cannon balls
  34. 34. Emphysema
  35. 35. PNEUMOTHORAX
  36. 36. Hydropneumothorax on left side
  37. 37. PLEURAL EFFUSION
  38. 38. CT SCAN
  39. 39. Bronchogram• Delineate bronchial tree bronchiectasis intrabronchial obstruction
  40. 40. BRONCHOSCOPY
  41. 41. CARDIOMEGALY
  42. 42. ECG
  43. 43. GERD
  44. 44. GERD BARIUM MEAL

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