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BRONCHIESTASIS (CAUSES (BACTERIAL: STREPTOCCOCUS PNEUMONIA, ACQUIRED:…

- - - - BACTERIAL MANIFESTATIONS:
        
        Increased sputum production over baseline
        
        Increased viscidity of sputum
        
        A foul odor of the sputum (occasional)
        
        Low-grade fever (rare)
        
        Increased constitutional symptoms (eg, fatigue, malaise)
        
        Increased dyspnea, shortness of breath, wheezing, or pleuritic pain
      - OBJECTIVE MANIFESTATION:
        
        Crackles, rhonchi, scattered wheezing, and inspiratory squeaks on auscultation
        
        Digital clubbing (2-3% of patients; more frequent in moderate-to-severe cases)
        
        Cyanosis and plethora with polycythemia from chronic hypoxia (rare)
        
        Wasting and weight loss
        
        Nasal polyps and signs of chronic sinusitis
        
        Physical stigmata of cor pulmonale, in advanced disease
      - CLASSIC MANFESTATIONS:
        
        Cough and daily mucopurulent sputum production, often lasting months to years (classic)
        
        Blood-streaked sputum or hemoptysis from airway damage associated with acute infection
        
        Dyspnea, pleuritic chest pain, wheezing, fever, weakness, fatigue, and weight loss
        
        Rarely, episodic hemoptysis with little to no sputum production (ie, dry bronchiectasis)