bronchiectasis

Question 1

what is Bronchiectasis

Answer 1

Bronchiectasis describes a permanent dilatation of the airways secondary to chronic infection or inflammation

Question 2

infective causes of bronchiectasis

Answer 2

Most common organisms isolated from patients with bronchiectasis:
Haemophilus influenzae (most common)
Pseudomonas aeruginosa
Klebsiella spp.
Streptococcus pneumoniae

Question 3

bronchial obstruction causes of bronchiectasis ?

Answer 3

lung cancer/foreign body

Question 4

bronchial obstruction causes of bronchiectasis immune deficiency?

Answer 4

selective IgA,
hypogammaglobulinaemia
allergic bronchopulmonary aspergillosis (ABPA)

Question 5

ciliary dyskinetic syndromes causing bronchiectasis

Answer 5

Kartagener’s syndrome,
Young’s syndrome
cystic fibrosis

Question 6

bronchial obstruction causes

Answer 6

selective IgA,
hypogammaglobulinaemia
allergic bronchopulmonary aspergillosis (ABPA)

Question 7

other causes of bronchiectasis ?

Answer 7

yellow nail syndrome

Question 8

x

Question 9

x

Question 10

x

Question 11

x

Question 12

x

Question 13

After assessing for treatable causes (e.g. immune deficiency) management is as follows

Answer 13

these two have the highest long term control of symptoms

physical training (e.g. inspiratory muscle training) - has a good evidence base for patients with non-cystic fibrosis bronchiectasis

postural drainage-

antibiotics for exacerbations + long-term rotating antibiotics in severe cases

bronchodilators in selected cases

immunisations

surgery in selected cases (e.g. Localised disease)