bronchiectasis Flashcards
1
Q
define bronchiectasis
A
permanent dilation of bronchioles and excessive mucus in them
2
Q
risk factors for bronchiectasis
A
- post infection
- CF
- HIV
- ABPA
3
Q
pathophysiology of bronchiectasis
A
- Irreversible dilation, loss of cilia and mucus hypersecretion.
- Increased risk of infection due to decreased mucociliary clearance
4
Q
symptoms of bronchiectasis
A
- Dyspnoea
- productuve Cough
- Haemoptysis
- Recurrent Cx infections
5
Q
4 investigations for bronchiectasis
A
- chest x ray
- sputum culture
- HRCT - gold standard
- spirometry
6
Q
what does chest x ray for bronchiectasis show
A
kerley B lines, SIGNET RING SIGN (bronchioles dilated and appear thicker than adjacent pulmonary artery)
7
Q
what does spirometry for bronchiectasis show
A
obstructive FEV1:FVC < 0.7
8
Q
what does HRCT for bronchiectasis show
A
(high resolution CT) = dilated thickened bronchi
9
Q
what does sputum culture for bronchiectasis do
A
checks infectious organism
H.influenzae most common
10
Q
treatment for bronchiectasis
A
Non-curative
Chest physio + bronchodilators + prophylactic antibiotics
11
Q
A
