Bronchiectasis Flashcards Preview

AY Respiratory > Bronchiectasis > Flashcards

Flashcards in Bronchiectasis Deck (11):
1

Main organisms which infect patients with bronchiectasis

H. influenzae
Strep pneumoniae
Staph aureus
Pseudomonas aerugnosa

2

Causes of Bronchiectasis

Cystic Fibrosis
Post infection (measles, pertussis, bronchiolitis, pneumonia, TB, HIV)
Bronchial obstruction (tumour, foreign body)
Allergic Bronchopulmonary Aspergilliosis (ABPA)
Hypogammaglobulunaemia
Rheumatoid arthritis/ ulcerative colitis
Idiopathic

3

Symptoms of bronchiectasis

Persistent productive cough
Copious purulent sputum
Intermittent haemoptysis
Persistent halitosis
Finger clubbing
Breathlessness (airflow limitation)

4

Signs of bronchiectasis

Finger clubbing
Coarse inspiratory crackles
Wheeze

5

Complications of bronchiectasis

Pneumonia
Pleural effusion
Pneumothorax
haemoptysis
Amyloidosis
Cerebral abscess

6

Investigations for bronchiectasis

CXR (dilated bronchi, thickened walls p, multiple cysts)
CT (thick dilated bronchi with cysts, assess extent of disease)
Spirometry (can show obstructive pattern)
Sputum culture (identify organism)
Bronchoscopy (exclude obstruction, locate haemoptysis, get sample)

7

What is postural drainage?

Used in bronchiectasis treatment
Performed twice a day
Tip of side of bed
Trained by physio

8

Antibiotics for treatment of bronchiectasis

Ciproflooxacin - 500mg 3X daily
Flu location - 500mg 4X daily (if staph aureus)

If > 3 exacerbations a year consider long term antibiotics

9

When are bronchodilators useful in bronchiectasis?

Patients with airflow limitation

10

When can surgery be used in bronchiectasis?

If disease is localised
To treat severe haemoptysis

11

What is bronchiectasis?

Abnormal and permanently dilated airways caused by chronic infection
Bronchial walls become inflamed, thickened and irreversibly damaged
Much ciliary ,echo ism is impaired and bacterial infections occur frequently.