Bronchiectasis differential diagnosis: Difference between revisions
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===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 | ||
*If the childhood is associated with significant environmental and social disadvantage | *If the childhood is associated with significant environmental and social disadvantage | ||
Revision as of 12:46, 25 June 2015
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Overview
Bronchiectasis Differential Diagnosis
- Diminished breath sounds in COPD are not found in bronchiectasis
- Chest CT will be normal or show emphysema is patients with COPD
- Crackles found in bronchiectasis will not be found in asthma
- Airflow obstruction is reversible in asthma
- Patients with pneumonia will express symptoms for a short duration of 7-10 days, whereas patients 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
- Crackles found in bronchiectasis will not be found in chronic sinusitis
- Chest x-ray and chest CT are normal in chronic sinusitis
- Cough due to gastrointestinal reflux
- Upper airway cough syndrome (postnasal drip)
- Cancer of the lung
- Inhaled foreign body
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