Pre PACES Podcast #33 Bronchiectasis
18 snips
Apr 24, 2022 Dr. Diana Kavanagh, a respiratory consultant at Sandwell and West Birmingham Hospitals NHS Trust and host of the Respiratory GURU podcast, dives into the intricacies of bronchiectasis. She explains its causes, clinical findings, and highlights important examination techniques. Key topics include red flags, auscultation findings, and essential management strategies. Diana also shares insight into investigations and common pathogens associated with the condition. To top it off, she participates in a fun quiz about George Ezra!
AI Snips
Chapters
Transcript
Episode notes
Podcast Began During Maternity Leave
- Dr Diana Kavanagh started The Respiratory Guru while on maternity leave to stay up to date with literature.
- She found podcasting boosted her CPD despite creating more work than expected.
Cough-Responsive Crackles Suggest Secretions
- Crackles that change with coughing suggest retained secretions as in bronchiectasis, while unchanged crackles point to fibrosis.
- Use the cough-relisten manoeuvre to help differentiate airway secretions from interstitial disease.
Four Key Investigations To Order
- Investigate with HRCT, sputum cultures, bloods (autoimmune and immunoglobulins), and lung function.
- Use HRCT signet-ring and airway-to-vessel ratio to confirm bronchiectasis and sputum to guide targeted therapy.