Bronchiectasis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
==Bronchiectasis Differential Diagnosis== | ==Bronchiectasis Differential Diagnosis == | ||
*COPD | *Chronic Obstructive Pulmonary Disease (COPD) | ||
:*Diminished breath sounds in COPD are not found in bronchiectasis | :*Diminished breath sounds in COPD are not found in bronchiectasis | ||
:*Chest CT will be normal or show emphysema is patients with COPD | :*Chest CT will be normal or show emphysema is patients with COPD | ||
* Asthma | * Asthma | ||
:*Crackles found in bronchiectasis will not be found in asthma | :*Crackles found in bronchiectasis will not be found in asthma | ||
:*Airflow obstruction is reversible in asthma | :*Airflow obstruction is reversible in asthma | ||
*Pneumonia | *Pneumonia | ||
:*Patients with pneumonia will express symptoms for a short duration of 7-10 days, whereas patients with with bronchiectasis express symptoms for years | :*Patients with pneumonia will express symptoms for a short duration of 7-10 days, whereas patients with with bronchiectasis express symptoms for years | ||
:*Patients with pneumonia have bronchial breath sounds on auscultation | :*Patients with pneumonia have bronchial breath sounds on auscultation | ||
:*Consolidation is seen on chest x-ray and chest CT in patients with pneumonia | :*Consolidation is seen on chest x-ray and chest CT in patients with pneumonia | ||
*Chronic Sinusitis | *Chronic Sinusitis | ||
:*Crackles found in bronchiectasis will not be found in chronic sinusitis | :*Crackles found in bronchiectasis will not be found in chronic sinusitis | ||
:*Chest x-ray and chest CT are normal in chronic sinusitis | :*Chest x-ray and chest CT are normal in chronic sinusitis | ||
===Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms=== | ===Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms=== | ||
*Digital clubbing | *Digital clubbing | ||
*Lack of a significant smoking history if you suspect a patient has COPD | *Lack of a significant smoking history if you suspect a patient has COPD | ||
*History of recurrent and/or severe pneumonia or tuberculosis | *History of recurrent and/or severe pneumonia or tuberculosis | ||
*Presence of Aspergillus, atypical/nontuberculous mycobacteria, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae in the sputum | *Presence of Aspergillus, atypical/nontuberculous mycobacteria, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae in the sputum | ||
Revision as of 17:49, 24 June 2015
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Overview
Bronchiectasis Differential Diagnosis
- Chronic Obstructive Pulmonary Disease (COPD)
- Diminished breath sounds in COPD are not found in bronchiectasis
- Chest CT will be normal or show emphysema is patients with COPD
- Asthma
- Crackles found in bronchiectasis will not be found in asthma
- Airflow obstruction is reversible in asthma
- Pneumonia
- Patients with pneumonia will express symptoms for a short duration of 7-10 days, whereas patients with with bronchiectasis express symptoms for years
- Patients with pneumonia have bronchial breath sounds on auscultation
- Consolidation is seen on chest x-ray and chest CT in patients with pneumonia
- Chronic Sinusitis
- Crackles found in bronchiectasis will not be found in chronic sinusitis
- Chest x-ray and chest CT are normal in chronic sinusitis
Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms
- Digital clubbing
- Lack of a significant smoking history if you suspect a patient has COPD
- History of recurrent and/or severe pneumonia or tuberculosis
- Presence of Aspergillus, atypical/nontuberculous mycobacteria, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae in the sputum
- If the childhood is associated with significant environmental and social disadvantage