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Broncholithiasis
Aka: Broncholithiasis
- Causes
- Pulmonary Tuberculosis
- Histoplasmosis
- Silicosis
- Pathophysiology
- Broncholith perforates
- Calcified lymph node or granuloma
- Perforation extends from hilar region into Bronchi
- Symptoms
- Sudden onset cough
- Hemoptysis (may be massive)
- Signs
- Hemoptysis may contain Calcium Carbonate fragments
- Coarse rhonchi
- Fever
- Diagnosis
- Bronchoscopy
- May localize broncholith or perforation site
- Radiology: Chest XRay
- Distal Bronchus with calcified fragment
- Hilar or paratracheal nodes may be calcified
- Course
- Pulmonary hemorrhage from broncholith has been fatal
- References
- Lin (1978) JAMA 239:2153