Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Ultrasound guided intervention was performed in Tikur Anbessa Hospital for two consecutive years in 72 patients from surgical, medical and paediatric wards who had abdominal masses, abscesses, pulmonary and mediastinal masses and encysted pleural effusions with the objective of avoiding unnecessary surgical intervention and to generate awareness among physicians as to the potential use of ultrasound in the management of similar patients. There were 41 males and 31 females. Twenty nine patients were from surgical, 28 patients from paediatric and the remaining 15 from medical ward. There were 30 thoracic and 42 abdominal indications for ultrasound guided intervention. The patients had a mean age of 25 years. Successful diagnostic tap with or without drainage and ultrasound guided fine needle aspiration of intra-thoracic and abdominal abscesses and masses were performed, except in one anterior mediastinal mass of which the fine needle aspiration result was inconclusive. Unnecessary surgery was obviated hence morbidity and mortality were reduced and unnecessary cost avoided, and appropriate planning of treatment regimen was assisted. Complication from the procedure were minimal, and included mild haemoptysis from inadvertent puncture of one of the chest hydatid, and asymptomatic iatrogenic pneumothorax from puncture of anterior mediastinal mass.
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PMID:Ultrasound guided fine-needle aspiration in Tikur Anbessa Hospital: a report of preliminary experience. 1114 75

An 8-year-old girl was admitted to the emergency department with hemoptysis. Her history revealed that she had been drinking unfiltered tap water several days before. Physical examination revealed a black live foreign object in the pharynx with local posterior pharyngeal oozing. Pharyngeal leech was suspected and removed immediately using forceps. After removal of the leech, the bleeding stopped immediately and the patient felt comfortable. The leech was identified as belonging to the species Limnatis nilotica. Pharyngeal leeches should be included in the differential diagnosis of patients with hemoptysis, especially in patients with a history of drinking unfiltered water from sources where aquatic leeches are commonly found. Cases such as this should be considered as emergencies, and all measures should be taken to avoid hemoptysis and death.
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PMID:An unusual cause of hemoptysis in a child: live leech in the posterior pharynx. 2096 17

An 18-year-old man presented to the local hospital in Malta, with dyspnoea, cough, mild haemoptysis, chest pain and night sweats. CT revealed a right hilar mass. Pleural tap, bronchoscopy and open lung biopsy were inconclusive. Biopsies obtained at repeat bronchoscopy and endobronchial ultrasound (EBUS) revealed a likely diagnosis of inflammatory myofibroblastic tumour (IMT). The patient subsequently underwent right pneumonectomy, and histology revealed the presence of two further nodules apart from the main tumour. Follow-up with positron emission tomography (PET)/CT showed the development of a right basal paracardial lesion due to recurrence and the presence of lymph node, pleural and skeletal disease. Despite radiotherapy to the recurrent nodule and chemotherapy, there was skeletal disease progression. Treatment with an anaplastic lymphoma kinase inhibitor, ceritinib, resulted in very good metabolic response. This case report highlights the importance of keeping IMT in mind when the diagnosis of lung tumours is difficult, as delayed diagnosis may lead to worsened prognosis.
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PMID:A diagnostic dilemma in a case of pulmonary inflammatory myofibroblastic tumour. 2709 May 50