bronchiectasis Flashcards
symptoms
yellow suputum
persistent cough
signs
coarse inspiratory crepitations
finger clubbing
is finger clubbing seen in bronchieactasis
yes
initial treatment
chets physiotherapy
medical treatment
nebulised saline or mucolytic agents
what requires long term antibiotics
> 3 exaccerbstions a year
what is seen on spirometry
obstructive pattern
pathophysiology
inflammation of airways > fibrosis of smooth muscle > fibrosed muscle contracts > widens airways
bronchie-actasis
dilation of bronchi
menumonic
SHIT
S-sputum production
H-haemoptysis
I-infection - recurren t
T-tenacious cough
is the cough worse on lying
yes
what is the long term antibiotics
macrolides
gold standard investigation
HRCT as can see bronchial dilation