
permanent dilation of bronchi and bronchioles caused by destruction of the muscle and elastic supporting tissue, resulting from or associated with chronic necrotizing infections
c/f: cough and expectoration of copious amounts of purulent sputum
Causes of bronchiectasis:
Bronchial obstruction, eg, tumors, foreign bodies, and impaction of mucus
cystic fibrosis: viscid mucus impairing the mucociliary elevator
immunoglobulin deficiencies: lack of opsonisation predisposes to different capsulated bacteria
Kartagener syndrome: immotile cilia syndrome
Necrotizing, or suppurative, pneumonia, esp with virulent organisms like Staphylococcus aureus or Klebsiella
pneumonia that complicated measles, whooping cough, and influenza are important causes in children
Post-tubercular bronchiectasis
obstruction and chronic persistent infection form a vicious cycle - Either of these two processes may come first
Morphology of a bronchiectatic lung:
lower lobes are usually involved, bilaterally
Bronchiectasis due to foreign bodies may be sharply localized to a single segment of the lungs
The bronchi are dilated upto four times and can be followed almost to the pleural surfaces
M/E shows intense acute and chronic inflammatory exudate within the walls of the bronchi and bronchioles and the desquamation of lining epithelium
peribronchiolar fibrosis
May frequently form a lung abscess.
Culture grows mixed organisms like staphylococci, streptococci, pneumococci, enteric organisms, anaerobic and microaerophilic bacteria, and Haemophilus influenzae( esp toddlers)and Pseudomonas aeruginosa
Clinical features:
Chronic Cough with copious mucus production
frank hemoptysis can occur
Clubbing
obstructive ventilatory defects develop, with hypoxemia, hypercapnia, pulmonary hypertension, and (rarely) cor pulmonale.
Lung abscesses- pt becomes toxic, with foul smelling copious sputum production, especially in a particular position of the patient.
Metastatic brain abscesses
Reactive amyloidosis.

mbbs in Philippines
ReplyDeleteEvery year, almost 8000 foreign students take admission in Philippines Medical universities and out of which around 50% are Indian students. The standard of education in Philippines universities is well known around the world. Thousands of doctors from these medical universities are sent to various countries like USA and UK every year. There are around 2299 higher educational institutions and 40 medical colleges. The main benefits of pursuing MD degree from
Top Medical Colleges in Philippines :
EMILIO AGUINALDO COLLEGE OF MEDICINE
UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA
LYCEUM NORTHWESTERN UNIVERSITY
DAVAO MEDICAL SCHOOL FOUNDATION
SOUTHWESTERN UNIVERSITY
Top Searched Topics on MBBS in Philippines
study mbbs in philippines
philippines medical colleges list
best medical colleges in philippines for indian students
philippines medical colleges
best medical colleges in philippines
mci approved medical colleges in philippines
for more information contact us : +91 90329 55688
UV GULLAS COLLEGE OF MEDICINE is one of Top Medical College in Philippines in Cebu city. International students have the oppertunity to study medicine in phillipines at affordable cost and world class University. The college has successful alumni who have achieved well in the fields of law, business, politics, academe, medicine, sports and other endeavors. At University of the Visayas, we prepare students for a global competition.
ReplyDeleteDirect MBBS Admissions Open: 2020-21
Mobile No: +91 90329 55688
Apply Now: https://www.careerplus.org.in/philippines-medical-college/uv-gullas-college-of-medicine
MBBS in Philippines Wisdom Overseas is authorized India's Exclusive Partner of Southwestern University PHINMA, the Philippines established its strong trust in the minds of all the Indian medical aspirants and their parents. Under the excellent leadership of the founder Director Mr. Thummala Ravikanth, Wisdom meritoriously won the hearts of thousands of future doctors and was praised as the “Top Medical Career Growth Specialists" among Overseas Medical Education Consultants in India.
ReplyDeleteWhy Southwestern University Philippines
5 years of total Duration
3D simulator technological teaching
Experienced and Expert Doctors as faculty
More than 40% of the US returned Doctors
SWU training Hospital within the campus
More than 6000 bedded capacity for Internship
Final year (4th year of MD) compulsory Internship approved by MCI (No need to do an internship in India)
Vital service centers and commercial spaces
Own Hostel accommodations for local and foreign students
Safe, Secure, and lavish environment for vibrant student experience
All sports grounds including Cricket, Volleyball, and others available for students