Bronchiectasis Flashcards
Define bronchiestasis
Chronic dilatation of one or more bronchi - exhibits poor mucus clearance and there is predisposition to recurrent or chronic bacterial infection
What is gold standard investigation for bronchiectasis?
HRCT
What are some common organisms causing bronchiectasis?
HI PA MC Stenotrophomonas maltophilia SP Aspergillus candida NTM
What is defined as an exacerbation of bronchiectasis?
Person with bronchiectasis who has had an exacerbation in 3 or more symptoms for at least 48 hours
Cough Sputum volume/ consistency Breathlessness/ exercise intolean Fatigue Haemoptysis Sputum purulence
How many people suffer from CF in the UK?
1/2500
How is CF diagnosed?
One or more characteristic phenotypic feature or history in sibling or positive heel prick test
+
Sweat test with high chloride above 60mmol/l Extended genotyping (2 CF mutations need to be identified)
What symptoms may be seen in meconium ileus?
Bilious vomiting
Abdominal distension
Delay in passing of meconium
Why should CF patients avoid jacuzzis?
Psuedomonas exposure
why should CF patients avoid stables compost or rotting vegetation?
Risk of aspergillus fumigatus inhalation
Give 2 gut complications CF.
Distal intestinal obstruction syndrome
Oesophageal reflux/ oesophagitis
Give 5 complications of CF in the lungs.
bronchiectasis PT ABPA Haemoptysis Respiratory failure
Give 2 reproductive tract complications of CF.
male infertility
CBAVD
What does heel prick test test for?
IRT
Immunoreactive trypsinogen
