BRONCHIECTASIS IN CHILDREN: CRACKING THE CODE OF THEORY
Second post in series" cracking the code of theory" ready to go online. The topic of Bronchiectasis is not only usefull in theory but in practicals as well.
|By Dr Ranjith kumar CS|
He is Currently persuing DM in medical oncology from JIPMER, completed DNB from Kanchi Kamakoti Child Trust Hospital with a GOLD MEDAL in his hand, has great academic interests and contributed about 9 chapters in scott pediatriks clinical methods in 3rd edition as author and is one of the co-author at dnbpediatrics.com
Bronchiectasis a disease characterized by irreversible abnormal dilatation of the bronchial tree.
In children with bronchiectasis (not due to cystic fibrosis), the male to female ratio is 2 : 1.
hilar lymph nodes)
|Cylinder Bronchiectasis: |
The bronchial outlines are regular, but there is diffuse dilatation of the bronchial unit.
The bronchial lumen ends abruptly because of mucous plugging.
The degree of dilatation is greater and local constrictions cause an irregularity of outline resembling varicose veins.
There may also be small sacculations.
Bronchial dilatation progresses and results in ballooning of bronchi that end in fluid- or mucus-filled sacs.
This is the most severe form of bronchiectasis
The following definitions have been proposed:
prebronchiectasis (chronic or recurrent endobronchial infection with nonspecific HRCT changes)
HRCT bronchiectasis (clinical symptoms with HRCT evidence of bronchial dilation—may persist, progress, or improve and resolve)
established bronchiectasis (like the previous but with no resolution within 2 yr)