Bronchiectasis
chronic dilatation of bronchi due to infection
what organisms cause this
haemophilus influenzae
strep pneumonia
staph aureus
pseudomonas aueruginosa
causes of infection
post infections: TB, HIV, pertussis CF pneumonia tumour RA
signs
persistent productive cough constant sputum coarse inspiratory creptations haemoptysis clubbing
investigations
spirometry - obstructive
high resonant CT
management
conservative:
chest physio
lifestyle factors
medical:
antibiotics
steroids
SABA
surgical:
transplant
when would you start long-term antibiotics
3 or more infections every year