Bronchiectasis

Question 1

Bronch Presentation

Answer 1

Productive cough +/- blood
SOB, on exertion
Tiredness/fatigue

Question 2

Bronch Risk factors

Answer 2

Recurrent chest infections as kid
Cystic fibrosis! Family history
Smoking
TB, whooping cough, aspergillus

Question 3

Bronch Investigations

Answer 3

Spirometry: obstructive
CXR
HRCT: diagnostic

Question 4

Bronch Treatment

Answer 4

Smoking cessation
Chest physio: postural drainage, deep breathing techniques
Inhalers: SABA, ICS
Long term antibiotics: azithromycin

Question 5

Bronch Complications

Answer 5

Chest infections: hospitalisations
Prophylactic antibiotics
Haemoptysis
Cor pulmonale

Question 6

Bronch Progress/Review

Answer 6

Stable, worse or better
Vaccinations: pneumococcus, flu, COVID
Respiratory physician, GP?