Ancillary Tests and Procedures in Respiratory Med

Question 1

What 3 things can you do with sputum

Answer 1

1. gram stain
2. cytology
3. AFB, KOH, viral culture, PCR

Question 2

When you would use a needle aspirate

Answer 2

PTHX

Question 3

When you do perform thoracentesis

Answer 3

1. diagnose cause of pleural effusion

2. take off fluid

Question 4

When do you place a chest tube

Answer 4

high density output/protein content fluid or blood

Question 5

When do you perform a pleurodesis and what is it?

Answer 5

• inflammation of pleural surface to promote adhesion formation
• indicated for recurrent PTHX, malignant effusions, refractory symptomatic PE

Question 6

Wen do you perform a medical thorascopy

Answer 6

in pleural effusion of unknown origin, malignancy, or infection