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Volume
1: No. 1 (Sept-Dec) 1999
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Original
Papers: |
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i) |
Lower
Lung Field Tuberculosis and Mixed Infections- A Diagnostic Dilemma |
Rajasekharan
S, Srinivasan A, Vanaraj V,
Senthamizh Chelvan |
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ii) |
Diameter
of the Interface and Lung Function Measurements |
Madhu
K, Ravindran P |
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A
Case of Anterior Mediastinal Metastasis /
Extension of Cystosarcoma Phyllodes Breast |
Joshi
M, Ravindran P, Mahesh PA, Chandralekha B
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Aneurysm
of the Diverticulum of Kommerella –
A Rare Case of Tracheal Compression
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Achuthan
V, Menon KS, Ravindran C, Shyam CM,
Mohammed Faizy AH, Vijayan VP |
| Osteolytic
Lesion of Rib Simulating a Lung Mass |
Venugopal
P, Kurian Thomas, Raseela Karunakaran
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Lower
Lung Field Tuberculosis and Mixed Infections :
- A Diagnostic Dilemma
Rajasekharan
S, Srinivasan A, Vanaraj V, Senthamizh Chelvan,
Dept. of Thoracic Medicine, Thanjavur
Medical College, Tamil Nadu
Abstract
Non-tuberculosis
infections and post-occlusive bronchial diseases are considered to be
the major causative factor for unresolved or incompletely resolved
lower lung field lesions. This study projects the relevance of mixed
Mycobacterial (tuberculous) and non-tuberculous bacterial infections
as an important cause for unresolved lower lung lesions. Among the 300
consecutively selected bacteriologically confirmed pulmonary
tuberculosis patients 51 (17%) had lower lung field tuberculosis (LLF-TB).
Of these 52 LLF-TB patients 28 patinets (54.9%), who had negative
sputum smear microscopy were initially handed either as unresolving
non-tuberculous lung lesions or bronchiectasis. Repeated sputum smear-
examinations for AFB after administering 10 to 15 days of combined
antibiotic therapy helped to clinch the diagnosis. In the event of
mixed Mycobacterial and non- tuberculous bacterial infections, the
combined antibiotic therapy eliminates overwhelming and rapidly
multiplying non-tuberculous organisms early paving way for repeat
sputum smear microscopy to detect the ‘uncovered’ M.tuberculosis
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Diameter
of the Interface and Lung Function Measurement
Madhu K, Ravindran P,
Cosmopolitan Hospital, Thiruvananthapuram.
Abstract:
Introduction:
Over the past several years it was felt that lung function
measurements with mouth pieces supplied by manufacturers do not
measure the best effort of the patients.
Objective:
To test the hypothesis that true measurement of lung
function of an individual is depended on optimal positioning to lips.
Study
design: Experimental design
Setting:
Pulmonary and Critical Care Medicine, Department of Cosmopolitan
Hospital, Trivandrum.
Manoeuvre:
Lung functions were measured using mouth pieces of two different
diameters, 20mm and 24mm diameters for every patient. 25 cases were
enrolled. The values obtained were analyzed. Value of each function
was worked out as percentage of the predicted value. The mean
percentage value of each test was compared for both mouthpieces in
cases and controls.
Results:
The smaller mouthpiece gave consistently higher values Viz.FVC, FEV1
and PEFR were higher by 5.7%, 4.99% and 6.76% respectively. The
results were statistically highly significant by Wilcoxon patched
pairs signed ranks test.
Conclusions:
There was significant difference between the measurements made by the
two mouth pieces. The smaller one gave higher values.
Relevance:
The pulmonary physician always wants the best effort values for the
lung function tests of their patients. It is clear from this study
that he should insist on a 20-mm mouth piece to get the correct values
of lung function measurements.
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A
Case of Anterior Mediastinal Metastasis / Extension of Cystosarcoma
Phyllodes Breast
Joshi
M, Ravindran P, Mahesh PA, Chandralekha B,Department
of Respiratory Medicine,Medical College, Thiruvananthapuram.
Abstract:
A
rare case of cystosarcoma phyllodes of the breast metastasing/extending
into anterior mediastinum, six years after surgical removal of the
tumour causing superior venacaval obstruction and causing death within
a short span of four months after onset of symptoms is reported.
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Aneurysm
of the Diverticulum of Kommerella –A Rare Case of Tracheal
Compression
Achuthan
V, Menon KS, Ravindran C, Shyam CM,Mohammed
Faizy AH, Vijayan VPDept.of Chest Diseases and CT Scan Unit, Medical
College, Calicut.
Abstract:A
rare case of an aneurysm of the diverticulum of Kommerell in a 65 year
old male who presented with respiratory symptoms only, is reported
with a review of literature.
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Osteolytic
Lesion of Rib Simulating a Lung Mass
Venugopal P, Kurian Thomas, Raseela
KarunakaranDepartment of Chest Diseases, Medical College, Alappuzha
Abstract:A
case of Multiple Myeloma presenting as a lytic lesion of rib is
reported here. The radiological picture stimulates a Bronchogenic
Carcinoma with rib involvement.
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