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Chest x ray

Chest x ray

Chest x-ray is a regular diagnostic test that throws light on the condition of the lungs, heart and chest wall. Chest x-ray reveals possible lung cancer, emphysema, heart failure and pnemonia. Heart irregularities and CHF may be visible on a chest x-ray. Any pleural effusions may be detected through a chest x-ray. The patient must wear loose fitting gown and remove any metal objects from clothing. In most cases, chest x-ray of frontal or posteroanterior view is taken. The patient has to take a deep breath so as to ensure a good quality chest x-ray image. There is no discomfort. Pregnant women must not undergo chest x-ray. But some conditions may not be easily diagnosed with a chest xray, such as pulmonary embolism or some cancers. In such cases, CT scan of chest is used for further clarification. Abnormal findings on chest xrays can range from pnemonia and tuberculosis to lung tumor or collapsed lung. Osteoporosis or fracture of ribs or spine can be detected.

Hepatoma

Hepatoma is primary liver cancer which occurs in the liver itself and did not spread from another area of the body to the liver. Often associated with cirrhosis of liver and hepatitis B infections, malignant hepatoma is common among alcoholics. It is found in people above 40 years of age and more noticed among men than women.

While the exact cause of malignant hepatoma is not known, there are several risk factors that contributes to the cause of hepatoma. These include being above 40 years of age, male sex, history of cirrhosis and exposure to hepatitis viruses B, C, D and G. Symptoms of malignant hepatoma may be the same as other liver diseases, including pain and swelling in the abdominal area, loss of weight, appetite, jaundice, fatigue and fever. Crucial pain extending to the back and shoulder is another symptom, when the cancer progresses. A collection of fluid known as ascites in the abdomen occurs in some patients, while some show signs of bleeding in the digestive tract.

The procedure for diagnosis is for the medical practitioner to go through the medical history of the patient first and physically examine the patient's abdomen for lumps if any. The liver could be swollen, hard and sore. Certain diagnostic parameters inclusive of blood tests are conducted to determine and evaluate the liver condition and function. An ultrasound and CT scan are undertaken to detect possible tumors in the liver. If necessary, a sample of liver tissue is sent for a biopsy to confirm if the hepatoma is malignant. Sometimes, a doctor looks for chest x-ray to understand if the liver tumor is primary or has spread to the lungs as well.

Hepatomas are neither contagious nor hereditary. They could be cured, if detected in the early stages. But unfortunately, most hepatomas are detected late making the rate of survival very low. In most advanced stages, malignant hepatoma cannot be cured although treated to relieve pain. Surgery is recommended if cancer is contained in one lobe of the liver and the patient is healthy enough without afflictions of cirrhosis, jaundice or ascited. Sometimes, chemotherapy or radiation therapy is undertaken to destroy the cancer cells in order to slow the disease spread. Although chemotherapy is not very successful but is tried in patients whose tumor is too large or advanced to be surgically resected. Liver transplant is adopted in patients who suffer acute liver damage with too large a portion of the tumor in the liver.

Bronchoscopy

Bronchoscopy is a diagnostic test that is used to view the airways, throat and larynx. This procedure can also facilitate removal of a growth or obstruction from the airway. Bronchoscopy is useful in diagnosing lung diseases and lung cancer. Any growth in the airways can be treated or removed. Other diagnostic tests such as CBC test, arterial blood gas test and PFT may be prescribed before embarking on bronchoscopy. The secretions in the mouth and airways are dried up with suitable medications. The vocal chords are also numbed. Fluroscope is also used to capture the images on a monitor. Avoid eating or drinking for a few hours prior to a bronchoscopy procedure. There might be blood in the sputum in case of biopsy.

Flexible bronchoscope allows a better view of the smaller airways and permits biopsy procedure too. This is called a transbronchial biopsy. Local anasthesia is often sprayed into the nose and mouth.

Rigid bronchoscope often necessitates the patient to be anesthesized and is resorted to when large samples need to be taken for biopsy and to remove pieces of food or dilating the airway. Use of laser is possible for removal for obstructions.

Abnormal results of bronchoscopy may be indicative of lung cancer, tumor, enlarged lymph nodes, ulceration or abnormality in the bronchial wall. Bronchoscopy is prescibed in cases where the patient coughs up blood or chest x-ray shows abnormal findings. If a person has inhaled a foreign body into the lung, bronchoscopy can help in removing it.