CC: cough
Diagnosis :
Bronchiectasis
Clinical signs:
Clubbing
Coarse cough all over chest, changing with cough
Other signs like connected to oxygen via face mask / nasal prong
Area to examine:
Chest
Extra: lymph nodes & listen for loud P2
Differential diagnosis:
Pulmonary fibrosis
Cancer
Advanced sarcoidosis
What will you do ?
Basic profile like CBC, LFT, …
CXR
HRCT chest
Investigate the causes example Sweat chloride and genetic test for cystic fibrosis, …
How you differentiate between pulmonary fibrosis & bronchiectasis ?
Crackles usually heard basal in pulmonary fibrosis while in bronchiectasis is all over the chest
Management of bronchiectasis:
Physiotherapy
Antibiotic for exacerbation
Long-term low dose azithromycin
Bronchodilator and inhaled steroid
Surgery
Complications of bronchiectasis:
Hymoptysis ( mycotic aneurysm )
Amyloidosis ( do urine for protein )
Cor pulmonale ( loud p2 )
