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Clinical:Bronchiectasis

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Bronchietasis--chronic dilatation of the bronchi--typically involves the medium-sized bronchi. Most patients have a history of chronic cough and copious sputum. Wheezing and dyspnea may develop.[1]

Contents

Causes

Bronchiectasis may result from congenital or acquired conditions. Obstructive forms are caused by tumors or other blockages. Nonobstructive bronchiectasis may be secondary to TB or cystic fibrosis. Many patients with bronchiectasis had respiratory infections as children, damaging the bronchial walls and leading to permanent bronchial dilatation.

Diagnosis

Plain chest x-rays are not always dispositive. A high-resolution CT scan may establish the diagnosis.

Treatment

Initial treatment consists of hydration, postural drainage, bronchodilators, and antibiotics as appropriate, sometimes for a prolonged period. Surgery may be necessary if medical treatments are insufficient.

References

  1. Arunabh S and Verma N, Cystic Bronchiectasis, Consultant Sept. 14, 2005

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