Bronchiectasis and Chronic Lung Cancer Flashcards
1
Q
Differential Diagnosis: Symptoms: Shadow on CXR • Weight loss • Persistent sputum production • Chest pain • Increasing shortness of breath
A
Lung Cancer – Not unreasonable • Intrapulmonary abscess • Empyema • Bronchiectasis • Cystic Fibrosis
2
Q
Risk factors for developing Chronic Pulmonary Infection:: Abnormal response
A
Immunodeficiency
Immunosuppression
3
Q
Risk factors for developing Chronic Pulmonary Infection: Abnormal innate host response
A
-Damaged bronchial
mucosa
– Abnormal cillia
– Abnormal secretions
4
Q
Immunoglobulin deficiencies
A
IgA deficiency
Hypogammaglobulinaemia
CVID
Specific polysaccaride Antibody Deficiency
5
Q
Immunodeficiency issues
A
Immunoglobulin deficiency
Hypo-splenism
Immune paresis
HIV
6
Q
Forms of chronic infection
A
Intrapulmonary abscess • Empyema • Chronic Bronchial Sepsis • Bronchiectasis • Cystic Fibrosis and other oddities
7
Q
Preceding illnesses: Pneumonia
A
Remember: ‘Flu -> Staph Pneumonia ->
Cavitating Pneumonia -> Abscess
8
Q
Aspiration pneumonia
A
Vomiting
Lowered conscious level (alcohol)
Pharyngeal pouch
9
Q
Empyema
A
Pus in the pleural space