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12 Cards in this Set

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Bronchiectasis
Bronchiectasis is a pathologic expansion of bronchi and/or bronchioles resulting from chronic necrotizing infections caused by various conditions which destroy bronchial smooth muscle and elastic tissue. Thus, it is not a primary disease, but a condition secondary to infection or other conditions.
S&S
- cough

- expectoration of copious purulent, sometimes fetid sputum

- flecks of blood in sputum, if not frank hemptysis
Conditions dispose to
Brochiectasis
Bronchial Obstruction
Cystic Fibrosis
HIV
Pneumonia
BRONCHIAL OBSTRUCTION
Tumors
Foreign Body
Mucuos Impaction
Causing obstruction & leading to infection
CYSTIC FIBROSIS
Inherited autosomal recessive
of exocrine glands
TRIADS OF CF
COPD ( bronchiectasis )
exocrine pancreatic insufficiency
high sweat chloride content
HIV
Recurrent infections, immunoglobin deficiencies
PNEUMONIA
Incompletly resolved
PATHOGENESIS
Obstruction& Chronic Infx,
sec infx's
Lower Lobes, most vertical airways.
Affected area 4X of NL dia
Mixed flora ( Staph,Strep,Pneumo,H.flu & Pseudo
LABS
Peribronchial fibrosis
Intrabronchial secretions
Suspect CYSTIC if abnormalities are Apical or upper lobe
CLINICAL
Finger Clubbing
Treatment
ABX & O2