Talley Respiratory Flashcards
1
Q
Causes of bronchiectasis
A
TB, HIV, IG deficiency, primary ciliary dyskinesia
CHildhood infections (measles, pneumonia, whooping cough)
Localised bronchiectasis causes: space occupying lesions
2
Q
What to look for on exam with bronchiectasis
A
- Sputum
- Cuntaneous - skin, yellow nails, clubbing
- Apex beat, RHF
- Complications - infections
- Amyloidosis
3
Q
What might the CXR show in bronchiectasis?
A
Cystic lesions, streaky infiltration, thickened bronchial walls (tram tracking)
4
Q
What is a sign of severity in bronchiectasis
A
FEV1 <40%
5
Q
Treatment of bronchiectasis
A
- Clearance of sputum w twice daily postural drainage
- Bromchodilators +/- steroids if there’s bronchial reactivity
- Management of exacerbations
- Preventative: vaccinations, smoking cessation
- Treat haemoptysis
- Surgery/transplant
6
Q
A