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Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The case history of a 38-year-old white housewife, Mrs. T, who was admitted to Touro Infirmary because of hemoptysis is presented. The patient was the mother of 9 children who began to take oral contraceptives after the eighth child. On discontinuing this form of prophylaxis, the ninth pregnancy ensued. Following the birth of the ninth baby, the patient resumed oral contraceptives (C-Quens), which she continued until a year before her admission to the hospital. The patient was always obese, and at one time she weighed 266 pounds. There was also a family history of hypertensive cardiovascular disease. The c linical impression on admission was that the patient had pulmonary embolism secondary to venous thrombosis of the left lower extremity. The clinical impression of severe pulmonary hypertension was confirmed by cardiac catheterization. Because the patient's long-term prognosis was hopeless, early hospital discharge was planned. Mrs. T. had irreversible and extensive cardiopulmonary damage. Dr. Bice was convinced that oral contraceptives played a significant part in the development of the patient's illness. He noted that oral contraceptives in most cases are apparently safe, but they should be given only to women who do not exhibit predisposing causes to thromboembolism.
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PMID:Medical Grand Rounds from Touro Infirmary. Pulmonary hypertension. 501 34

Bedside fiberoptic bronchoscopy is a valuable tool in the diagnosis and treatment of various respiratory conditions in critically ill patients. The fiberoptic bronchoscope allows direct airway inspection, facilitating the diagnosis of benign and malignant airway lesions. In addition, pulmonary secretions or tissue samples can be collected using the bronchoscope and techniques that allow sampling of the lower airways with minimal or no upper airway contamination. Collection of lower airway samples is important in the diagnosis of pulmonary infiltrates in immunocompromised patients, in many patients with ventilator-associated pneumonia, and in selected patients with CAP. The fiberoptic bronchoscope can be used for therapeutic interventions, such as insertion of an endotracheal tube, removal of an aspirated foreign body, clearance of tenacious secretions, promotion of hemostasis in patients with hemoptysis, instillation of drugs, and assistance in the placement of tracheobronchial prostheses (i.e., airway stents). If proper preprocedural training and planning are done and the patient is monitored carefully during the procedure, fiberoptic bronchoscopy can be performed quickly and safely at the bedside in most critically ill patients.
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PMID:Fiberoptic bronchoscopy for diagnosis and treatment. 1065 May 1