Diagnostics and Treatments
Diagnostics and Treatments
Although good history and thorough examination remain the cornerstone of diagnosis. We frequently have to perform certain investigations, as such we have access to the following investigations and interventions used either as means to arrive at a robust diagnosis or to enable us to treat your symptoms. Dr Hassan is competent in performing advanced interventional procedures such as Endobronchial Ultrasound (EBUS), EUS-B, Medical Thoracoscopy, Bronchoscopy, and the management of Indwelling Pleural Catheters (IPC/PleurX), among others.
• Lung Function Tests (Spirometry)
These tests assess how well the lungs are functioning by measuring the volume and flow of air during inhalation and exhalation. They are essential for diagnosing and monitoring respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD).
• FeNO Test
This test measures the amount of nitric oxide in the exhaled breath. Elevated levels of nitric oxide are indicative of airway inflammation, commonly seen in asthma. It assists in the diagnosis and management of asthma by helping to evaluate airway inflammation and the response to treatment.
• Reversibility Testing
This test determines whether airway obstruction is reversible with the use of bronchodilators. It typically involves spirometry measurements taken before and after the administration of a bronchodilator we use it differentiate between asthma and COPD.
• Peak Flow Meter
A portable device used to measure the peak expiratory flow rate (PEFR), indicating how fast air can be expelled from the lungs we use it for diagnosing variability and in patients with asthma to monitor their condition and detect any early signs of worsening control
• Bronchoscopy
A procedure that allows direct visualisation of the airways using a thin, flexible tube with a camera and light at the end. It can also be used to obtain tissue samples (biopsies) or clear blockages. Used for diagnosing lung infections, tumours, and other airway disorders.
• Chest Ultrasound
A diagnostic imaging technique that uses sound waves to produce images of the structures within the chest. It is particularly useful for assessing pleural effusions and guiding thoracentesis. Used for Non-invasive and useful for examining pleural space abnormalities.
• Chest Computed Tomography (CT) Scan
A detailed imaging technique that provides cross-sectional images of the chest. It is more sensitive than standard X-rays and can detect a wide range of pulmonary conditions, including tumours, infections, and pulmonary embolism. We frequently use it to assess complex lung diseases, staging cancers, and evaluating interstitial lung disease.
• Endobronchial Ultrasound (EBUS)
A minimally invasive procedure that combines bronchoscopy with ultrasound to visualise structures within and around the lungs, particularly lymph nodes. We use for diagnosis of Sarcoidosis, staging lung cancer and diagnosing mediastinal diseases
• Thoracentesis
A procedure to remove fluid from the pleural space for diagnostic or therapeutic purposes. It involves inserting a needle through the chest wall into the pleural cavity to relieve symptoms of pleural effusion or obtain fluid for analysis.
• Sleep Studies (Polysomnography)
A comprehensive overnight test that monitors several physiological parameters while a patient sleep. It is crucial for diagnosing sleep disorders, particularly obstructive sleep apnoea.
• Indwelling Pleural Catheter
A long-term catheter inserted into the pleural space for drainage of recurrent fluid around the lung. It can be used for therapeutic purposes and to manage recurrent effusions.
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