Role of ultrasound in diagnosis of pleural and parenchymal lung diseases in OPD patients
| Autor: | Sonisha Gupta, Sarthak Goyal, Atul Gupta, Prerna Gupta |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lung Hydropneumothorax Pleural effusion business.industry Atelectasis Lung abscess respiratory system medicine.disease respiratory tract diseases 03 medical and health sciences Idiopathic pulmonary fibrosis 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Pneumothorax medicine Radiology business Bulla (amulet) 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Community Health Management. 7:83-88 |
| ISSN: | 2394-2738 2394-272X |
| DOI: | 10.18231/j.jchm.2020.020 |
| Popis: | Background & Objective: Thoracic CT is the most common imaging modality used after screening with chest x-ray in treatment of lung pathologies. But high cost, radiation, immobility & availability restrict its widespread use. For many years transthoracic ultrasound is being used in examination of pleural effusions in ICU patients. To study the role of chest ultrasonography in diagnosing pleural & parenchymal pathologies in OPD patients this study was carried out. Materials and Methods: 32 adult patientswithdyspnoea, cough & other chest symptoms coming to OPD of pulmonary department of Santosh hospitals from January 2017 to July 2018 were enrolled in the study. Results: In diagnosing pleural lung diseases- pleural effusion, pneumothorax, hydropneumothorax and pleural thickening, US showed a sensitivity, specificity, PPV & NPV all of 100% and accuracy of 1.00. But for parenchymal lesions taken all together (Consolidation, collapse, atelectasis, lung abscess, fibrocavitary lesion with necrosis, idiopathic pulmonary fibrosis, bleb/ bulla) it showed low accuracy of 0.62 with 42.86% sensitivity, 86.36% specificity, 80% positive and 54.29% negative predictive values respectively. Conclusion: Thoracic US offers fast, cheap, safe, radiation free, widely available, easily reproducible and non-invasive diagnostic modality for evaluating pleural lung diseases in OPD patients. But low sensitivity in diagnosis of parenchymal diseases is not encouraging. Keywords: USG, Pleural, Parenchymal lung diseases. |
| Databáze: | OpenAIRE |
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