Bronchiectasis Flashcards
1
Q
what is it
A
Abnormal and permanent dilatation of the central and medium-sized airways leading to impaired clearance of bronchial secretions with secondary bacterial infection and bronchial inflammation
2
Q
common causes?
A
CF
post-infectious
idiopathic
3
Q
most common organism ?
A
Haemophilus influenzae
4
Q
clinical features?
A
chronic productive cough recurrent chest infections haemoptysis SOB wheeze
5
Q
o/e features?
A
clubbing
coarse crackles over affected areas (usually lung bases)
6
Q
gold standard investigation for diagnosis?
A
high-resolution CT scan
- airway dilatation
- bronchial wall thickening
- bronchial wall cysts
7
Q
management?
A
improve sputum clearance
- smoking cessation
- physiotherapy
8
Q
which vaccinations are given?
A
annual influenza
pneumococcal
9
Q
which antibiotic is given to patients with S.aureus?
A
flucloxacillin
10
Q
which organism does yello green sputum indicate?
A
P. aeruginosa
