Bullous Emphysema Treatment | Medical Algorithm

Are you evaluating a lung bulla iin a patient with COPD?

Yes

Is the bulla very large (occupying one third or more of a hemithorax)?

Yes

Is the bulla associated with significant dyspnea (due to collapse of adjacent lung)?

Yes

Has the patient had recurrent or persistent pneumothorax associated with the bulla?

Yes

Is there an abscess involving the bulla that has failed medical mangement?

Yes

Is there suspicion of malignancy in the bulla?

Yes

Has the patient had an episode of massive hemoptysis associated with the bulla?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of reasons to consider bullectomy in this patient

Should this bulla be resected?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Indications for Bullectomy in Patient with Emphysema

Purpose: To determine if a lung bulla should be resected in a patient with chronic obstructive pulmonary disease (COPD).

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10