2. DEFINITION
Irreversible dilatation of airway that
involves lung in either Focal or Diffuse
manner and that classically has been
categorized as Cylindrical or Tubular (the
most common form), Varicose & Cystic.
3. PATTERN OF
LUNG
INVOLVEME
NT
FOCAL BRONCHIECTASIS
Localised area
Consequence of obstruction of airway
Extrinsic : adjacent lymphadenopathy/tumour/mass
Intrinsic : airway tumour, aspirated foreign body,
scarred / stenotic airway.
DIFFUSE BRONCHIECTASIS
Widespread bronchiectasis changes throughout lung
&
Often arises from an underlying systemic or
infectious disease process
11. CLINICAL
MANIFESTATIO
N
Persistent productive cough with ongoing
production of thick tenacious sputum.
O/E : Clubbing (+)
Early and mid inspiratory coarse crackles
and Diffuse rhonchi
12. DIAGNOSIS
Usually based on presentation +
radiographic findings
Chest radiography lacks sensitivity
CT – more specific
18. TREATMENT
Bronchial Hygiene : enhancing secretion
clearance – hydration and mucolytic
administration
Nebulisation with Hypertonic saline, Chest
Physiotherapy(postural drainage)
Pulmonary rehabilitation and a regular
exercise program to improve quality of life
Anti-inflammatory therapy
Antibiotics in case of acute exacerbations
Surgery – Refractory cases
Lung transplant – In advanced cases