Analysis of the causes diagnosed by computed  tomography  in patients  with  haemoptysis  and normal chest  radiograph

Dr.k. sailaja; Dr. H. Naga sreedhar  rao

Volume : V, Issue : VII, July - 2015

Analysis of the causes diagnosed by computed tomography in patients with haemoptysis and normal chest radiograph

Dr. K. Sailaja, Dr. H. Naga Sreedhar Rao

Abstract :

Back ground: Hemoptysis is one of the common symptom with which patients attend chest department. If chest radiograph is normal further investigations are necessary to detect the cause of haemoptysis so that appropriate treatment can be given. The study is taken to retrospectively analyse the causes diagnosed by computed tomography (CT) in patients with hemoptysis with normal chest radiograph . Type of study : a retrospective analysis of pulmonary causes diagnosed by CT scan chest in patients with hemoptysis and normal chest radiograph admitted and managed in pulmonary medicine department , Kurnool medical college ,Kurnool, AP. Method :41 cases admitted in pulmonary medicine ward with hemoptysis and normal chest radiograph and investigated with HRCT/CECT are taken into the study . patients age, sex, symptoms, reports of CT scan, FOB, sputum for AFB, Grams staining, culture sensitivity for pyogenic organisms and malignant cells were collected from records . Results: The diagnoses made by CT were Tuberculosis In 17, onchiectasis in 9, malignancy in 2 copd with pneumona in 2, vascular 1. CT was normal in 10 patients. Conclusion : tuberculosis and onchiectasis (26 cases 63.41%) were found to be the commonest causes of hemoptysis. In patients with hemoptysis and normal chest radiograph CT helps in early diagnosis . CT being non invasive and detects Tuberculosis, Bronchiectasis , diffuse parenchymal diseases, peripheral masses Mediastinal and vascular lesions better than FOB preferred prior to onchoscopy.