Bronchiectasis and emphysema Flashcards
1
Q
What is bronchiectasis?
A
Permanent dilatation of airways proximal to terminal bronchioles secondary to chronic infection/inflammation
2
Q
What are the causes of bronchiectasis?
A
Post infective- TB, pneumonia CF Bronchial obstruction- cancer, foreign body Immune Allergic bronchopulmonary aspergillosis
3
Q
What is the presentation of bronchiectasis?
A
Recurrent infection- usually h. influenzae Chronic cough, productive HAemoptysis SOB Chest pain Creps and crackles
4
Q
What infections are common with bronchiectasis?
A
Main= h. influenzae
Pseudomonas aeroginosa
Klebsiella
Strep pneumonia
5
Q
Who is the typical bronchiectasis patient?
A
Not usually smoker
6
Q
What investigations are done for bronchiectasis?
A
CXR
CT
Sputum culture
7
Q
What is the management of bronchiectasis?
A
Treat any causes Nutrition Physical- exercise and airway clearance Antibiotics for exacerbations Bronchodilators
8
Q
What is emphysema?
A
Dilatation of airways distal to terminal bronchioles
One aspect of COPD
9
Q
Who is the typical emphysema patient?
A
Smoker with chronic cough and SOB
