We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Fiberoptic Bronchoscope

Charles B. Payne Jr, MD
Arch Intern Med. 1980;140(12):1673-1674. doi:10.1001/archinte.1980.00330230119028.
Text Size: A A A
Published online


To the Editor.  —The fiberoptic bronchoscope is not normally included as a diagnostic instrument in the evaluation of left-sided chest pain. We recently had the opportunity to examine bronchoscopically a 52-year-old man with extensive pulmonary parenchymal damage, fibrosis, and cavitary lesions associated with infection by Mycobacterium kansasii. There was evidence of left pleural thickening on his chest roentgenograms, together with infiltrative lesions in the left upper lobe and lingula associated with mild-to-moderate hemoptysis. The subsegmental orifices to the left upper lobe (B1, B2, and B3) and the lingular divisions (B4 and B5) were instrumented with successful localization of the bleeding point.Following the procedure, the patient volunteered that he had experienced left-sided chest pain radiating into the left shoulder during the examination of the left upper lobe bronchi. This pain duplicated the discomfort for which he had twice previously undergone coronary cineangiography at other institutions


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.