Bronchiectesis

Question 1

Pathophysiology

Answer 1

an abnormal and irreversible dilation, distortion and possible inflammation of the airways

• result of infection, causing acute inflammation
• prolonged inflammatory process results in destroyed MCC and cartilagenous structures
• stimulates excessive mucus production
• causes airway destruction and MCC dysfunction
• results in cycle of infection and colonisation of lungs

Question 2

Clinical Implications

Answer 2

impaired airways clearance 
airflow limitation 
impaired gas exchange 
dyspnoea 
reduced exercise tolerance 
musculoskeletal dysfunction

Question 3

Clinical Features

Answer 3

chronic cough
sputum production - typically strong smelling
frequent lower respiratory tract infections
ausc has widespread, coarse and expiratory crackles

Question 4

Medical Management

Answer 4

antibiotics 
anti-inflammatories 
bronchodilators 
mucolytics 
frequent vaccinations!!!
surgical resection or transplant

Question 5

Physio Management

Answer 5

Airway Clearance Techniques 
Education - importance of airway clearance 
- pathophysiology 
- hydration 
Exercise Training 
- pulmonary rehab