Answer
Answer
Tuberculous Pleural Effusion
There is controversy whether medical thoracoscopy is warranted when the suspicion for tuberculosis is high. In these cases, the diagnostic yield from closed-needle pleural biopsy is approximately 69%, with some studies reporting rates as high as 88%. [5] The current consensus is that medical thoracoscopy should be reserved for special circumstances, such as lysis of adhesions or more effective drainage of loculated effusions, as well as when larger quantities of tissue are needed for sensitivities. [5]
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Media Gallery
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Biopsy forceps sampling parietal pleura.
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Talc pleurodesis on lung and parietal pleura.
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Bulky metastasis on parietal pleura.
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Examination for evidence of metastasis.
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Pleural adhesions on medical thoracoscopy.
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Patient positioning for medical thoracoscopy.
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Trocar insertion for medical thoracoscopy.
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Insertion of semirigid scope through trocar.
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Olympus semirigid pleuroscope.
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Olympus semirigid pleuroscope.
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Olympus semirigid pleuroscope.
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Semirigid pleuroscope in extension.
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Semirigid pleuroscope in flexion.
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Semirigid pleuroscope in neutral position.
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