Bronchiectasis

Question 1

what is it

Answer 1

Abnormal and permanent dilatation of the central and medium-sized airways leading to impaired clearance of bronchial secretions with secondary bacterial infection and bronchial inflammation

Question 2

common causes?

Answer 2

CF
post-infectious
idiopathic

Question 3

most common organism ?

Answer 3

Haemophilus influenzae

Question 4

clinical features?

Answer 4

chronic productive cough 
recurrent chest infections 
haemoptysis 
SOB 
wheeze

Question 5

o/e features?

Answer 5

clubbing

coarse crackles over affected areas (usually lung bases)

Question 6

gold standard investigation for diagnosis?

Answer 6

high-resolution CT scan

• airway dilatation
• bronchial wall thickening
• bronchial wall cysts

Question 7

management?

Answer 7

improve sputum clearance

• smoking cessation
• physiotherapy

Question 8

which vaccinations are given?

Answer 8

annual influenza

pneumococcal

Question 9

which antibiotic is given to patients with S.aureus?

Answer 9

flucloxacillin

Question 10

which organism does yello green sputum indicate?

Answer 10

P. aeruginosa