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Bronchiectasis (demo)Presentation The clinical presentation of bronchiectasis in children is not always obvious. The one fairly persistent feature is that of a persistent productive cough. It is essential to remember that the majority of young children and a number of older ones do not expectorate their sputum but merely swallow it once it passes out of the trachea. Children with bronchiectasis are usually apyrexial during respiratory exacerbations. Finger clubbing is rare and auscultation is usually normal despite, at times, extensive lung disease. The chest x-ray is often unhelpful. In fact in adults with bronchographically proven bronchiectasis, an abnormality was only suspected in 50% of their plain x-rays.
In the first video you will hear a typical wet cough in a patient with bronchiectasis secondary to primary ciliary dyskinesia. The second is a short clip of a bronchoscopy showing infected mucus in the airway.
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© 2007 OCB MEDIA |  |
