Bronchiectasis Flashcards
Causes
Post-[…]: Tuberculosis; HIV; Measles; Pertussis; Pneumonia
Bronchial Pathology: Obstruction by […] […] or tumour
[…] […] […] (ABPA)
Congenital: […] fibrosis; […] syndrome; Primary […] dyskinesia; Young syndrome
Hypogammaglobulinaemia
Idiopathic
Infection
Foreign body
Allergic Bronchopulmonary aspergillosis
Cystic, Kartagener’s, ciliary
Causes
Post-[…]: Tuberculosis; HIV; Measles; Pertussis; Pneumonia
Bronchial Pathology: Obstruction by […] […] or tumour
[…] […] […] (ABPA)
Congenital: […] fibrosis; […] syndrome; Primary […] dyskinesia; Young syndrome
Hypogammaglobulinaemia
Idiopathic
Infection
Foreign body
Allergic Bronchopulmonary aspergillosis
Cystic, Kartagener’s, ciliary
Symptoms
- […] Cough
- […] sputum
Haemoptysis
Signs
- clubbing
- dyspnoea
- […]
- coarse […] crepitations
Productive
purulent
wheeze
inspiratory
Invx for diagnosis
Spirometry - […] pattern
[…] culture
[…]: thickened bronchial walls, and cystic appearance, otherwise known as […] and […] shadows
Best investigation: High-resolution […]
Invx for cause
Serum […] – Hypogammaglobulinaemia
Sweat test – […]
Aspergillus precipitins or skin prick test – […]
Rheumatoid Factor or ANA – RA
obstructive
sputum
CXR - tramline, ring
CT
immunoglobulins
CF
ABPA
Conservative management:
- Patient Education + support group
- Chest […] – […] drainage at least twice daily to aid mucous drainage
- […] Cessation
Medical management:
1. […]
2. […] – e.g.salbutamol (if wheezy)
3. Corticosteroid - Prednisolone is used in […] treatment
4. […] - Mucolytic which reduces the viscosity of sputum
Surgical Management:
- Surgical excision of localized area of disease or cessation of haemoptysis
- Lung transplant
Physiotherapy, Postural,
Smoking
Antibiotics
Bronchodilators
ABPA
Carbocysteine
