ABSTRACT
Pulmonology is one of the branches that frequently receive consultation requests from the emergency department. Pulmonology consultation (PC) is requested from almost all clinical branches due to the diagnosis and treatment of any respiratory condition, preoperative evaluation, or postoperative pulmonary problems. The aim of our study was to describe the profile of the pulmonology consultations received from emergency departments in Turkiye. A total of 32 centers from Turkiye (the PuPCEST Study Group) were included to the study. The demographic, clinical, laboratory and radiological data of the consulted cases were examined. The final result of the consultation and the justification of the consultation by the consulting pulmonologist were recorded. We identified 1712 patients, 64% of which applied to the emergency department by themselves and 41.4% were women. Eighty-five percent of the patients had a previously diagnosed disease. Dyspnea was the reason for consultation in 34.7% of the cases. The leading radiological finding was consolidation (13%). Exacerbation of preexisting lung disease was present in 39% of patients. The most commonly established diagnoses by pulmonologists were chronic obstructive pulmonary disease (19%) and pneumonia (12%). While 35% of the patients were discharged, 35% were interned into the chest diseases ward. The majority of patients were hospitalized and treated conservatively. It may be suggested that most of the applications would be evaluated in the pulmonology outpatient clinic which may result in a decrease in emergency department visits/consultations. Thus, improvements in the reorganization of the pulmonology outpatient clinics and follow-up visits may positively contribute emergency admission rates.
Subject(s)
Emergency Medical Services , Lung Diseases , Physicians , Humans , Female , Male , Cross-Sectional Studies , Turkey , Lung , Emergency Service, Hospital , Lung Diseases/diagnosis , Lung Diseases/therapy , Referral and ConsultationABSTRACT
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Subject(s)
Adult , Humans , Male , Lymphadenitis/therapy , Vaccin attenue bilie/administration & dosage , Vaccin attenue bilie/therapeutic use , Carcinoma/complications , Fluorodeoxyglucose F18 , Administration, Intravesical , Positron-Emission Tomography/instrumentation , Positron-Emission Tomography/methods , Positron-Emission Tomography , Bronchial Provocation Tests , Mycobacterium bovis/isolation & purification , BCG Vaccine/therapeutic useSubject(s)
BCG Vaccine/adverse effects , Carcinoma, Transitional Cell/therapy , Lymphadenitis/etiology , Mediastinal Diseases/etiology , Tuberculoma/etiology , Tuberculosis, Lymph Node/etiology , Urinary Bladder Neoplasms/therapy , Administration, Intravesical , Adult , Antitubercular Agents/therapeutic use , BCG Vaccine/administration & dosage , BCG Vaccine/therapeutic use , Carcinoma, Transitional Cell/secondary , Diagnosis, Differential , Fluorine Radioisotopes , Fluorodeoxyglucose F18 , Humans , Lymphadenitis/diagnostic imaging , Male , Mediastinal Diseases/diagnostic imaging , Mediastinal Diseases/drug therapy , Mediastinal Neoplasms/diagnosis , Multimodal Imaging , Positron-Emission Tomography , Radiopharmaceuticals , Tomography, X-Ray Computed , Tuberculoma/diagnostic imaging , Tuberculoma/drug therapy , Tuberculosis, Lymph Node/diagnostic imaging , Tuberculosis, Lymph Node/drug therapyABSTRACT
OBJECTIVE: The aim of this study was to assess the clinical features and high resolution computed tomography (HRCT) findings in smear-negative pulmonary tuberculosis (PTB) and to evaluate the correlation between these parameters and the culture results. METHODS: We retrospectively studied 78 active smear-negative PTB patients. They were divided into two groups according to their culture results. The HRCT findings and clinical features at the beginning of the antituberculosis treatment were reviewed. RESULTS: The mean age was 22.48±3.18 years. Micronodules (87%), large nodules (63%) and centrilobular nodules (62%) were the most common HRCT findings. HRCT findings were observed in the right upper (72%), left upper (56%), right lower (32%), and left lower lobes (29%). Cough (37%) and chest pain (32%) were the most frequent symptoms at presentation. CONCLUSIONS: There were no significant differences in the HRCT findings and clinical features between the two groups. Thus, in cases of smear-negative and culture-negative PTB, the patient with compatible clinical and radiological features should be considered for tuberculosis treatment.
