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Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
Bronchiectasis: ... localized -> diffuse bronchiectasis ... CVID+++, HIV, ABPA ... TerrierBen #Bronchiectasis
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
HRCT shows focal bronchiectasis ... aspergillosis (ABPA ... #CXR #CTChest #ABPA
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
patients with bronchiectasis ... aspergillosis (ABPA ... ABPA is a hypersensitivity ... CT demonstrated bronchiectasis
Differential Diagnosis of Wheezing
 • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Heart failure, Bronchiectasis ... bronchopulmonary (ABPA
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 • Primarily affects
Aspergillosis (ABPA ... can result in bronchiectasis ... collapse • Central bronchiectasis ... Aspergillosis #ABPA
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
coccidioidomycosis), Allergic (ABPA ... , ABPM) Medications
Clinical spectrum of aspergillosis

By Dr. Sara Dong @swinndong 

#ID  #Infectious Diseases  #Infections
#Aspergillus #Aspergillosis #IA
Aspergillosis #IA #CPA #ABPA
Causes of Cough and Hemoptysis
Acute Inflammation 
 - Laryngitis 
 - Tracheobronchitis 
 - Mycoplasma and
Bronchitis - Bronchiectasis ... Differential #Causes #Table
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Bronchiectasis - ... • Bronchiectasis ... Hypersensitivity: ABPA ... Young syndrome (bronchiectasis ... exacerbations #Bronchiectasis
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Sarcoidosis • Bronchiectasis ... Cystic Fibrosis, ABPA