Definition | Treatment | Management of Disease | Diagnosis | Symptoms | Etiology | Pathophysiology | Procedure

 

Clinical Symtomps and Diagnosis Bronchiectasis

Clinical Symptoms of Bronchiectasis
  • Chronic productive cough, continuous or repetitive.
  • Coughing up blood, blood mixed sputum to massive coughing up blood.
  • acute exacerbation accompanied by heat.
  • Sputum mucoid, or purulent mukopurulen, when collected in a transparent glass look three layers: a layer of froth on top, the middle layer of mucus, pus and debris lining the bottom.
  • Shortness of breath, and breath sounds.
  • local wet crackles and settled.
  • Wheezing can be found.
  • Cachexia, cyanosis and clubbing in advanced cases.
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Diagnosis
Diagnosis of bronchiectasis is established on the basic of:
  • Complaints and symptoms were found on physical examination.
  • Chest X-ray PA photo: normal in mild bronchiectasis. In severe cases, can seem "tram tracks" (two parallel lines like a tram tracks). The existence of the shadow ring when cut crosswise. If there is mucus plugging thick  --> linear density, or Y-shaped or V ("gloves-finger sign"). In cystic bronchiectasis, cystic cavities appear diameter of 3 cm sometimes appear water-fluid levels or nodules (when it was full).
  • Bronchography using contrast material, if planned for surgery. Picture looks cylindrical, varicose or cystic.
  • Examination of sputum (Gram and TTH), cultures of bacteria and fungi.
  • Antibiotic sensitivity tests.
  • Tests pulmonary physiology: VC and FEV1.
DIfferential Diagnosis

Complications of Bronchiectasis
Prognosis
Depending on the cause, location, and extent of abnormalities. With antibiotics and respiratory hygiene, improved prognosis.

Management of Bronchiectasis

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