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Medicine

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Respiratory

Question
21 out of 27
 

A patient presents with a cavitatory lesion in right upper lobe of lung. The best investigation is. (AIPG 2011)



A Bronchoscopy, lavage and brushing

B C.T. Scan

C X ray

D FNAC

Ans. A

Bronchoscopy, lavage and brushing

Tests:

1). Cytology: sputum & pleural fluid

2). CXR: peripheral circular opacity; hilar enlargement; consolidation; lung collapse; pleural effusion; bony secondaries. Peripheral lesions and superficial lymph nodes may be amenable to percutaneous fine needle aspiration or biopsy.

3). Bronchoscopy: to give histology and assess operability.

4). CT to stage the tumour.

5). 18F deoxyglucose PET scan: to help in staging (PET = positron emission tomography).

6). Radionuclide bone scan abnormalities, if suspected bone metastases.

7). Lung function tests.

Respiratory Flashcard List

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