Bronchiectasis And Hypersensitivity Pneumonitis

Question 1

What other name is given to hypersensitive pneumonitis

Answer 1

Extrinsic allergic alveolitis

Question 2

Describe hypersensitive pneumonitis

Answer 2

It is an interstitial lung disease caused by inhalation ot organs material eg (farmers lung and bird fancier disease and pigeon breeders disease)

Question 3

Causes of focal bronchiectasis (unilateral)

Answer 3

Foreign body, endobronchial masses and tumours, vascular rings and slings.

Question 4

Causes of diffuse bronchiectasis (bilateral)

Answer 4

Tuberculosis, HIV, primary immunodeficiency, primary cilia dyskinesia, congenital lung lesions eg congenital diaphragmatic hernia, chronic aspiration syndrome such gastric-oesphageal reflux disease neuromuscular diseases -trachea-oesophageal fistulas.

Question 5

What organisms make you think of bronchiectasis

Answer 5

Pseudomonas and staphylococcus aureus in sputum cultures

Question 6

What is the clinical picture of cystic fibrosis in kids.

Answer 6

Gastrointestinal= neonates- intestinal obstruction due to mecenium ileus. Obstructive jaundice cirrihosis and portal hypertension.
Failure to thrive with chronic foul smelling diarrhoea due to pancreatic.
Electrolyte derangerments, typically hyponatraemiawithhypochlorcemo metabolic alkalosis.
Exocrine pancrease, insulin-dependent celibates mellitus.
Rectal prolapse

Question 7

Respiratory manifestations of cystic fibrosis in kids

Answer 7

Repeated respiratory tract infection, especially staphylococcus aureus or pseudomonas aeruginosa leading to bronchiectasis.
Nasal polyps

Question 8

Diagnosis of CF

Answer 8

Positive sweat test with a chloride concentration of moretha 0 60mmo1/l is diagnostic of CF to confirm the diagnosis two positive sweat tests are required

Question 9

Management of bronchiectasis

Answer 9

Daily physiotherapy with postural drainage