Bronchieactasis Flashcards
(24 cards)
What is the best diagnostic for Bronchieactasis?
High resolution CT, showing tram-track sign, signet ring sign and string of pearls
Which allergy is known to cause Bronchieactasis?
Allergic bronchopulmonary aspergillosis because chronic inflammation from this can cause Bronchieactasis
Aspergillus precipitins/fumigatus IgE test or skin prick test
Patients withbronchiectasissecondary to allergic bronchopulmonary aspergillosis (ABPA) may be treated withPrednisolone
Wha is the most common cause of Bronchieactasis?
Severe lower respiratory tract infection like pneumonia, TB or influenza
What are the symptoms of bronchieactasis?
Productive cough lasting at least 8 weeks
Copious production of purulent sputum
Dyspnoea
Haemoptysis
Chest pain
Fatigue
Weight loss
What are the examination findings for bronchieactasis?
Coarse INSPIRATORY crackles on auscultation
Wheeze
Rhonchi (snoring sounds caused by secretions in the larger airways)
Finger clubbing
What is the long term antibiotic prophylaxis given?
More than 3 exacerbations a year with nebulised colony in for pseudomonas aeruginosa carriers
What is the initial management of bronchieactasis? c
Chest physiotherapiy
What is used to manage allergic bronchopneumonia ray aspergillosis?
Corticosteroids
What does allergic bronchopulmonary aspergillosis result from?
An allergy to Aspergillus spores
What is often included in the patient history for exam questions regarding allergic bronchopulmonary aspergillosis?
Bronchiectasis and eosinophilia
What are common features of allergic bronchopulmonary aspergillosis?
Bronchoconstriction, wheeze, cough, dyspnoea
What previous label might patients with allergic bronchopulmonary aspergillosis have?
Asthma
What type of bronchiectasis is associated with allergic bronchopulmonary aspergillosis?
Proximal bronchiectasis
What laboratory finding is indicative of allergic bronchopulmonary aspergillosis?
Eosinophilia
What type of changes might be seen on a chest X-ray (CXR) for allergic bronchopulmonary aspergillosis?
Flitting CXR changes
What test is positive in allergic bronchopulmonary aspergillosis that indicates an allergy to Aspergillus?
Positive radioallergosorbent (RAST) test
What type of precipitins may be found in allergic bronchopulmonary aspergillosis?
Positive IgG precipitins
How does the positivity of IgG precipitins in allergic bronchopulmonary aspergillosis compare to that in aspergilloma?
Not as positive as in aspergilloma
What is a common immunoglobulin level that is raised in allergic bronchopulmonary aspergillosis?
Raised IgE
What is the first-line management for allergic bronchopulmonary aspergillosis?
Oral glucocorticoids
What is sometimes introduced as a second-line agent in the management of allergic bronchopulmonary aspergillosis?
Itraconazole
Which physical sign is seen in Bronchieactasis?
Clubbing
Which organisms are associated with Bronchieactasis?
Haemophilius influenzae is most common
-> Pseudomonas aeruginosa
Klebsiella spp.
Streptococcus pneumoniae
What is the treatment of Bronchieactasis in the long term?
Postural drainage and inspiratory muscle training to aid mucus clearance
