The Curbsiders Internal Medicine Podcast

#306 Bronchiectasis and NTM: You can’t get enough sputum!

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Nov 22, 2021
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INSIGHT

Definition And Imaging Of Bronchiectasis

  • Bronchiectasis is a radiographic syndrome: widened airways plus compatible symptoms define it.
  • High-resolution CT is the diagnostic imaging of choice to confirm airway dilation and lack of tapering.
ADVICE

When To Suspect Bronchiectasis

  • If a patient needs ≥2 antibiotics for respiratory infection within 6 months, investigate for bronchiectasis.
  • Order a CT when airflow obstruction exists without a clear smoking history or when chronic sputum is present.
ADVICE

Basic Immunologic Workup

  • Start initial workup with immunoglobulins (IgG, IgA, IgM) and Streptococcus pneumoniae serotypes.
  • If results are abnormal or recurrent infections persist, refer to an immunologist for deeper evaluation.
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