Bronchiectasis Flashcards
1
Q
What is this describing and which pathogen causes it?
Chronic inflammation of the bronchi and bronchioles leading to permanent dilation and thinning of these airways.
A
- Bronchiectasis
2. H. influenzae
2
Q
What are the congenital causes of bronchiectasis?
A
Cystic fibrosis, primary ciliary dyskinesia, Kartagener’s syndrome.
3
Q
What are the acquired causes of bronchiectasis?
A
Post: measles, pertussis, pneumonia, TB, HIV.
Tumour, foreign body, RA, UC, idiopathic.
4
Q
What is this a presentation of?
Persistent cough, copious purulent sputum, intermittent haemoptysis, finger clubbing, wheeze, inspiratory crackles.
A
Bronchiectasis
5
Q
How is suspected bronchiectasis investigated?
A
- Culture sputum
- CXR - dilated upper airways, cystic shadows
- Spirometry shows obstructive pattern
6
Q
What is the management for bronchiectasis?
A
- 1st line is postural drainage
- Chest physiotherapy
- Mucolytics
- Antibiotics if acutely infected
- Bronchodilators
- Steroids
