benryan95's version from 2016-01-12 13:46

Section 1

Question Answer
Describe the pathology of BronchiectasisChronic infection of the bronchi and bronchioles leading to permanent dilatation of these airways
Name 4 bacteria that typically cause bronchiectasis?H. influenza, Strep. pnuemoniea, Staph. aureus, Psuedomonas aeruginosa
Name 4 congenital causes of bronchiectasis?Cystic Fibrosis, Young's syndrome, primary ciliary dyskinesia, Kartagener's syndrome
Name 6 post-infection causes of bronchiectasis?measles, pertussis, bronchiolitis, pneumonia, TB, HIV
Name 6 other causes of bronchiectasisBronchial obstruction, allergic bronchopulmonary aspergillosis, hypogammaglobulinaemia, rheumatoid arthritis, ulcerative colitis, idiopathic
Name 3 symptoms of bronchiectasisPersistent cough, copious purulent sputum, intermittent haemoptysis
Name 3 signs of bronchiectasisFinger clubbing, coarse inspiratory crackles, wheeze
Name 6 complications of bronchiectasispneumonia, pleural effusion, pneumothorax, haemoptysis, cerebral abscess, amyloidosis

Section 2

Question Answer
What investigations can be performed in bronchiectasis?Sputum culture, CXR, HRCT chest, spirometry, bronchoscopy, serum immunoglobulins, CF sweat test, Aspergillus precipitins or skin-prick test
What can a CXR show in bronchiectasis?cystic shadows, thickened bronchial walls
What pattern can spirometry show?Often shows an obstructive pattern, reversibility should be assessed
What are the different components of management for bronchiectasis?Postural drainage, chest physiotherapy, antibiotics (long term considered), bronchodilators (in some patients), corticosteroids (allergic bronchopulmonary aspergillosis), surgery for local disease
How often should postural drainage be performed?twice daily

Section 3

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