bronchietasis

Question 1

what is the pathology?

Answer 1

chronic inflammation of bronchi and bronchioles leads to permanent dilation of these airways

Question 2

what are 4 aetiologies?

Answer 2

cystic fibrosis
acquired tuberculosis
childhood infections
tumours

Question 3

whhate are 4 signs of bronchiectasis on examination?

Answer 3

Finger clubbing

Coarse crepitations

Wheeze

Obstructive spirometry

Question 4

what are some presentations of bronchiectasis?

Answer 4

Dyspnoea

Chronic productive cough with foul and large volume sputum

Haemoptysis

Recurrent LRTIs

Coarse crackles with pops

Question 5

what are 4 tests to detect bronchiectasis?

Answer 5

sputum culture

CXR

high-resolution CT chest
-shows classic signest ring

CFTR/ chloride sweat test

Question 6

what are 3 management techniques?

Answer 6

conservative
vaccinations and smoking cessation

mucolytic therapy to remove extra mucus

inhaled corticosteroids and prophylactic antibiotics

Question 7

what are some common causative organisms of infective exacerbations of bronchiectasis?

Answer 7

Haemophilus Influenzae (Most Common)

Staphylococcus aureus

Pseudomonas aeruginosa