Bronchiectasis - Ix, Mx, Complx

Question 1

Ix

• sputum ? - shows ? organisms
• what shows cystic shadowing?
• CT - to assess ? of disease, can see dilated airways with ? ? sign , also seen on CXR
• spirometry - ? pattern, ? should be assessed

other tests can look for a cause eg serum ?, CF ? ?, ? precipitins

Answer 1

culture
atypical
CXR
distribution
signet ring
obstructive
reversibility
imglobulins
sweat tests
aspergillosis

Question 2

Mx

• assess for rare but ? causes eg ? defs
• stop ?
• ?- inspiratory ? training - good evidence for effect for ? ? related disease
• ? ? - twice daily

Answer 2

treatable
imm
smx
physio
mm
non - CF
postural drainage

Question 3

Mx

• ? for exacerbations, given according to known ?, or constant ? ones in severe disease
• ? to certain diseases
• ? useful in some cases
• ? rarely indicated as rarely is it confined to one lobe - ? used to be common so could be an osce pt
• the most common organism isolated from these pts is ?, however ?,?,?? are also common

Answer 3

Abx
sensitivities
rotating
immunisations
bronchodilators
surgery
lobectomy
haemophilus
klebsiella, Pseudomonas, strep pneum

Question 4

Complx

• pneum?
• pneum?
• ?
• lung ?
• ? spread of infection
• severe life threatening ? - more common in ?

Answer 4

pneumothorax
pneumonia
empyema
abscess
haematogenous
haemoptysis
CF