Ans:According to preoperative diagnosis there is Atelectasis of the lower lobe means there may be infection or damaged to any part of the lung. These suspect either a mucus plug(an accumulation of mucus and thick fluid that block the opening of the cervix) or obstructive cancer ( means there is cancer in the lower part of body that create obstruction)
After performing procedure like bronchoalveolar lavage( is a procedure in which a bronchoscope is passed through the mouth or nose in to the lung and fluid is squirted into small part of the lung and then collected for examination) bronchial brushings(In these process cell are taken from the inside of the airway mucosa through catheter based brushing under direct visualisation or fluoroscope guidance or bronchial washing(In these process bronchoscope is inserted through nose or mouth in to the lung or cell are taken from the inside of the airways that lead to the lungs).
Thus from post operative diagnosis there is only mild infection in the airways with thick secretion.These also proved that there is no mucus plug or obstructive cancer.
PREOPERATIVE DIAGNOSIS: Atelectasis of the right lower lobe, suspecting either a mucous plug or obstructing cancer....
NAME OF PROCEDURE: Fiberoptic bronchoscopy with biopsy, brushings and washings. PREOPERATIVE DIAGNOSIS: Right upper lobe lung lesion. POSTOPERATIVE DIAGNOSIS: Right upper lobe lung lesion. MEDICATIONS GIVEN: Codeine 60 mg IM prior to procedure. Atropine 0.4 mg IM prior to procedure. Versed 3 mg given during procedure. INDICATIONS FOR PROCEDURE: Patient is a 75-year-old white male, a farmer and a pipe smoker, who presents with a right upper lobe 4 cm lung lesion. Bronchoscopy is done to evaluate for lung cancer....
Preoperative diagnosis: Multiple lung nodules Postoperative diagnosis: Small cell carcinoma of the upper lobe of right lung Procedure description: Thoracoscopic segmental resection of lung nodules Indications: A 53 year old female presents to the hospital for resection of multiple lung nodules of the upper lobe of the right lung identified by previous outpatient radiological examination. The patient has smoked for 35 years and is a current two pack per day smoker. She also has a family history of lung cancer....
Loren White, M.D. PREOPERATIVE DIAGNOSIS: Mass, right axilla, history of breast cancer. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Biopsy of mass, right axilla. PRELIMINARY NOTE: This patient had a mastectomy six years ago and had positive nodes at that time. Recently, she presented with a fixed mass in the right axilla, and after a good deal of discussion, she decided to have a biopsy done. We did a true cut needle biopsy and obtained a diagnosis of metastatic cancer. The patient...
Health Record Face Sheet Record Number: 77-50-77 Age: 76 Gender: Male Length of Stay: 6 Days Service Type: Inpatient Discharge Status: To Home Diagnosis/Procedure: Hemoptysis Fiberoptic bronchoscopy with biopsy DISCHARGE SUMMARY PATIENT: JARED INPATIENT RECORD NUMBER: 77-50-77 ADMITTED: 06-15-XX DISCHARGED: 06-21-XX PHYSICIAN: DR. ALEX, M.D. DIAGNOSIS: Hemoptysis. Hypertension. Atelectasis. PROCEDURE: Fiberoptic bronchoscopy x 2 with biopsy. HISTORY OF THE PRESENT ILLNESS: The patient is a 76-year-old white male admitted to the hospital with hemoptysis. The patient states that approximately three...