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Bronchiectasis - Coggle Diagram
Bronchiectasis
Investigations
Sputum Culture
Chest X-Ray
Post bronchodilator spirometry
Testing for cystic fibrosis
GI investigations
Bronscoscopy
Antibody testing
Check vitamin D levels
Symptoms
Breathlessness
Non pleuritic chest pain
Large volume purulent sputum
Haemoptysis- Can be frank
Symptoms developing over many years
Fatigue
Fever
Differential Diagnosis
COPD
Pneumonia
Asthma
TB
Lung Ca
Interstitial lung Disease
Pulmonary fibrosis
mesothelioma
Consultation & Examination
Smoking status
Monitor weight/BMI
Monitor mental health
Managing Exacerbations
Sputum for C&S to guide Abx choice
7-14 days- Amoxicillin,
Clarithromycin or Doxycycline
Ensure regular self airway clearance
Auscultation findings
High pitched expiratory squeaks
Pulmonary crackles
Wheeze (more common in concomitant asthma)