Bronchiectasis Flashcards
1
Q
Define bronchiectasis
A
localised irreversible dilation of the bronchial tree
2
Q
What does airflow obstruction result in?
A
Impaired clearance of secretions
3
Q
How will a patient with bronchiectasis present?
A
- recurrent chest infections
- repeat antibiotic prescriptions
- no/short lived response to antibiotics
- persistent sputum production
4
Q
What are the symptoms of bronchiectasis?
A
- cough
- chest pain
- infections
CT scan will show dilatation of airways
5
Q
There are a variety of reasons for bronchiectasis but what are the majority of cases
A
idiopathic
6
Q
What is chronic bronchial sepsis?
A
All the hallmarks for bronchiectasis but none visible on HRCT, confirmed positive sputum results
7
Q
Who is most likely to have chronic bronchial sepsis?
A
Young patients in contact with kids or older people with COPD
8
Q
How can chronic bronchial sepsis be treated?
A
- stop smoking
- flu vaccine
- pneumococcal antibiotics
- reactive antibiotics
9
Q
When colonised with persistent bacteria what can be done?
A
- prophylactic antibiotics
- nebuliser gentamicin
IV or Oral
10
Q
What is the prognosis for chronic bronchial sepsis?
A
- recurrent infection
- abscesses & empyema
- colonisation
