Condition Info - BotMed Application

ConditionName

Bronchiectasis

ConditionDescription

Chronic distraction, remodeling and dilation of the large bronchi

Symptoms

Cough persistent and productive, wheezing, rales, hemoptysis, 
SOB; Hypoxemia

Exacerbation: Worsening cough; Sputum production; Dyspnea; Pleuritic chest pain

PhysicalFindings

ClinicalTests

Frequent resp infections  (usually gram(-))
bronchiectasis on image 
Best initial test: chest xRay
Multiple cysts and bronchial crowing

Most accurate test: high resolution chest CT – abnormally dilated and thickened airways

Sputum culture (in addition)

Spirometry: abstractive airflow

RiskFactors

Tuberculosis; 
Mycobacterium;
Aspergillosis;
Cystic fibrosis (50% of cases) – YOUNG!
Pneumonia (staph or repeated aspiration)
Fungal infection
Chronic abstraction
Immunodeficiency   (foreign body, tumor, lymph nodes)
Smoking

IsRedFlag

IsNPLEX

Consequence

Chronic distraction, remodeling and dilation of the large bronchi

ProgressionFromCondition

TreatmentOptions

Chest physiotherapy, pulmonary hygiene

Hydration
Surgery for focal lesions

PharmOptions

Threat infections every time (antibiotics, same with COPD)

WebLink

https://www.merckmanuals.com/en-ca/professional/pulmonary-disorders/bronchiectasis-and-atelectasis/bronchiectasis