1. 4A: Abnormalities of the Upper Airway and Larynx
BRONCHATLAS©
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2. Bronchoscopy reports: The Upper Airway
The bronchoscopy report should tell a story that everyone can read and understand the same way.
Morphology: Caliber, patency, shape, normal variants
Appearance: Normal, abnormal
Mucosa: Normal, color, edematous, friable
Abnormalities: Location, type, extent, associated malacia or collapse, redundant tissue, laryngeal and pharyngeal function
Secretions: Abundance, location, type, color
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3. Upper airway abnormalities
Perforated nasal septum
Nodule on epiglottis
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4. Ulcer on epiglottis
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5. Candida infection Thrush on anterior surface of epiglottis 5/26/17
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6. Candida Infection
Oral Candidiasis
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7. Oral Candidiasis
Candida infection below uvula in patient using inhaled corticosteroids
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8. Severe Laryngeal Candidiasis
Immunocompromised patient
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9. Redundant tissue and large, swollen epiglottis
Patient with obstructive sleep apnea
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10. Folded epiglottis
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11. Laryngeal cancer Laryngeal cancer with necrosis 5/26/17
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12. Radiation burns of larynx
Necrotic material
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13. Posterior laryngeal abnormalities
Luxation of Right arytenoid
Swollen Right arytenoid
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14. Anterior Laryngeal abnormalities
Ecchymosis Right vocal cord
Leukoplakia Right vocal cord
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15. Laryngeal abnormalities
Changes from aspiration and reflux
Candida laryngitis
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16. Laryngeal injury from traumatic intubation
Swollen epiglottis and arytenoids
Ulceration Left vocal cord
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17. Feeding Tube at Larynx
Feeding tube
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18. Vocal cord abnormalities
Paralyzed Right vocal cord
Note thicking on right
Paralyzed Left vocal cord
Does not move with phonation
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19. Contact Ulcer Left Cord
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20. Acute laryngospasm Cords closed in Adduction Acute spasm 5/26/17
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21. No Airway below vocal cords
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22. Vocal cords seen from below
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23. Intubation Trauma Post Wall Subglottis
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24. Horizontal laryngeal adhesion secondary to traumatic intubation
Adhesion lies across
posterior commissure
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25. BRONCHATLAS©
Step by Step©
& YouTube Instructional videos
This presentation is part of a multidimensional competency-oriented curriculum for Flexible Bronchoscopy.
Our goal is to eliminate patient suffering caused by unequal physician expertise and on-the-job training.
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Bronchoscopy International: BronchAtlas©, an Electronic On-Line Multimedia Slide Presentation. Published (Please add “Date Accessed”).
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