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14 Cards in this Set
- Front
- Back
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Key clinical presentation of bronchiectasis
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copious amounts of purulent sputum
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Def of bronchiectasis
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pathologic dilation of airways
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4 signs of bronchiectasis on CT scan
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dilation of airways
lack of tapering bronchial wall thickening bronchiole larger than vessel |
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etiology of bronchiectasis
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often unknown (>50%)
Recall bias Post-infectious (28%) Immune deficiency (8%) Primary ciliary dyskinesia (5%) USA: non-TB mycobacteria |
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Presentation of bronchiectasis
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cough, sputum, dyspnea, wheeze, chest pain, fatigue, anorexia, hemoptysis, exacerbations, finger clubbing/crackles
Cor pulmonale end stage |
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Signs/symptoms of PCD
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neonatal respiratory problems
recurrent otitis media recurrent sinusitis organ laterality recurrent pancreatitis, insufficiency GI disease infertility family hx |
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Black things in sputum should indicate?
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APBA
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4 key items in bronchiectasis work-up
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check HRCT scan
sputum culture (for MAC) spirometry chest radiograph |
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Quick test for PCD (not diagnostic)
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low nasal NO
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Strategies for bronchiectasis
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antibiotics
airway clearance mucokinetic agents bronchodilators anti-inflammatory agents vaccinate |
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Key idea in bronchiectasis management
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airway clearance
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Good tx for bronchiectasis
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macrolides can help this and CF (if MAC negative)
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When to use IV antibiotics in bronchiectasis
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during exacerbation
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Role of transplant in bronchiectasis
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very mild; infections can be spread between lungs, would have to be bilateral LT
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