Bronchiectasis

Question 1

Definition?

Answer 1

Bronchiectasis is the permanent dilation of bronchi due to the destruction of the elastic and muscular components of the bronchial wall

Question 2

CP?

Answer 2

• Chronic productive cough with copious mucopurulent sputum
• Auscultation-crackles and rhonchi, wheezing, bronchophony
• Rhinosinusitis
• Dyspnoea
• Haemoptysis
• Clubbing
fever

Question 3

Investigations?

Answer 3

• CXR-
	• tram track
	• Honeycombing
• High-res CT-
	• dilated bronchi with signet-ring appearance
• Sputum
• FBC
• PFT
bronchoscopy

Question 4

M?

Answer 4

treat cause
ABCDE
AB and physio
macrolide/AB
inhaled AB and macrolide
IV AB regular review