Bronchiectasis is the permanent abnormal dilatation of the bronchi and bronchioles. It has both congenital and acquired causes such as tuberculosis, pneumonia, and inhaled foreign bodies. Clinically, it manifests as chronic cough, production of large amounts of purulent sputum, and recurrent pneumonia. Diagnosis involves chest imaging like CT scan and testing sputum samples. Treatment focuses on controlling infections with antibiotics, improving mucus clearance, and potentially surgical resection of severely affected areas.
Dr. Md. Khairul Hassan Jessy
Associate Professor, Respiratory Medicine
National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Dhaka.
Acknowledment:
Davidson’s Principles and Practice of Medicine
Dr. Md. Khairul Hassan Jessy
Associate Professor, Respiratory Medicine
National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Dhaka.
Acknowledment:
Davidson’s Principles and Practice of Medicine
Bronchiectasis is a long-term condition where the airways of the lungs become abnormally widened, leading to a build-up of excess mucus that can make the lungs more vulnerable to infection.
In bronchiectasis , one or more of bronchi are abnormally widened . Damage caused to the lungs by bronchiectasis is permanent.
Bronchiectasis – first described- rené Laennec (inventor – stethoscope).
Child health nursing case presentation and case study topic is pneumonia in children pediatric
Health education in pneumonia
CHN pneumonia
Case presentation pneumonia
Case study pneumonia
Pneumonia is characterized by the emergence of new lung infiltrates, accompanied by clinical signs such as fever, purulent sputum, leukocytosis, and decreased oxygenation and Nosocomial Pneumonia is a non-incubating lower respiratory infection that presents clinically two or more days after hospitalization. In this presentation "Nosocomial Pneumonias" has been described including their causes, therapy, Principles, diagnosis, symptoms, management, etc. For more information, please contact us: 9779030507.
Bronchiectasis is a long-term condition where the airways of the lungs become abnormally widened, leading to a build-up of excess mucus that can make the lungs more vulnerable to infection.
In bronchiectasis , one or more of bronchi are abnormally widened . Damage caused to the lungs by bronchiectasis is permanent.
Bronchiectasis – first described- rené Laennec (inventor – stethoscope).
Child health nursing case presentation and case study topic is pneumonia in children pediatric
Health education in pneumonia
CHN pneumonia
Case presentation pneumonia
Case study pneumonia
Pneumonia is characterized by the emergence of new lung infiltrates, accompanied by clinical signs such as fever, purulent sputum, leukocytosis, and decreased oxygenation and Nosocomial Pneumonia is a non-incubating lower respiratory infection that presents clinically two or more days after hospitalization. In this presentation "Nosocomial Pneumonias" has been described including their causes, therapy, Principles, diagnosis, symptoms, management, etc. For more information, please contact us: 9779030507.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
4. DEFINITION:
Bronchiectasis is defined as
abnormal and irreversible dilatation
of the bronchi and bronchioles
(greater than 2mm in diameter)
developing secondary to
inflammatory weakening of bronchial
walls.
8. ACQUIRED CAUSES
🞭 Tuberculosis,
🞭 pneumonia,
🞭 inhaled foreign bodies,
🞭 allergic bronchopulmonary aspergillosis and
bronchiol tumours are the major acquired
causes of Bronchiectasis.
9. INFECTIVE CAUSES ASSOCIATED WITH
BRONCHIECT
ASIS INCLUDE
🞭 infections caused by
the Staphylococcus,
Klebsiella, or
Bordetella pertussis,
the causative agent of
whooping cough.
10. ASPIRATION OFAMMONIAAND OTHER T
OXIC
GASES,
🞭 pulmonary aspiration,
🞭 alcoholism, heroin (drug use),
🞭 various allergies all appear to be linked
to the development of Bronchiectasis
11. 🞭 Childhood Acquired Immune Deficiency
Syndrome (AIDS), which predisposes patients
to a variety of pulmonary ailments, such as
pneumonia and other opportunistic infections.
🞭 Inflammatory bowel disease, especially
ulcerative colitis.
🞭 A Hiatal hernia can cause Bronchiectasis when
the stomach acid that is aspirated into the
lungs causes tissue damage.
12. CONGENITAL CAUSES
🞭 Kartagener syndrome
🞭 primary immunodeficiencies
🞭 Marfan’s syndrome.
🞭 Patients with alpha 1-antitrypsin deficiency
have been found to be particularly
susceptible to bronchiectasis,
16. Due to etiological factor
Inflammation of bronchial wall
causing
Loss of supporting structure
Result in
Thick sputum that obstruct the bronchi
The bronchial wall become
permanently dialated and
17. CLINICAL MANIFESTATION
1. The production of large quantities of purulent
and often foul-smelling sputum.
The volume of sputum can be used for
estimating the severity of the disease
🞭 Mild < 10 mL
🞭 Moderate 10~150 mL
🞭 Severe >150 mL
18. 2. Chronic cough
3. Hemoptysis:
🞭Frequent
🞭More commonly in dry variety
🞭 Usually mild (blood streaking of purulent
sputum)
🞭Massive hemoptysis is usually from
dilated bronchial arteries or bronchial-
pulmonary anastomoses under systemic
pressure
20. SIGNS AND SYMPTOMS
🞭 Chronic cough with foul smelling sputum
production,
🞭 Some people with bronchiectasis may
produce frequent green/yellow sputum (up to
240ml (8 oz) daily).
🞭 Bronchiectasis may also present with
hemoptysis
🞭 Pneumonia
🞭 Bad breath indicative of active infection.
🞭 Frequent bronchial infections and
breathlessness are two possible indicators of
21. DIAGNOSTIC EVALUATION:
🞭 History and physical examination
🞭 Chest x-ray
🞭 CT (computerised tomography) scan
🞭 Blood tests
🞭 Testing of the mucus to identify any bacteria
present
🞭 Checking oxygen levels in the blood
🞭 Lung function tests (spirometry).
25. TREATMENT
🞭 Treatment of bronchiectasis includes
🞭 controlling infections and bronchial
secretions,
🞭 relieving airway obstructions,
🞭 removal of affected portions of lung by
surgical removal or artery
embolization
🞭 preventing complications.
26. TREATMENT
Therapy has several major goals:
(1)Treatment of infection, particularly during acute
exacerbations
(2) Improved clearance of tracheobronchial secretions
(3) Reduction of inflammation
(4) Treatment of an identifiable underlying problem
28. 2. Antibiotic
🞭 The choice of antibiotics should be
accurately by the results of
sputum culture and drug sensitivity
test.
🞭 Empirical therapy ---
antipseudomonal antibiotics.
29. A
N
T
I
B
I
O
T
I
C
S A
R
E T
H
E C
O
R
N
E
R S
T
O
N
E O
F
B
R
O
N
C
H
I
E
C
T
A
S
I
S M
A
N
A
G
E
M
E
N
T
🞭 Antibiotics are used only during acute
episodes
🞭 Choice of an antibiotic should be guided by
gram's stain and culture of sputum
🞭 Empiric coverage (amoxicillin, co-
trimoxazole,levofloxacin) is often given
initially