Overview of Bronchiectasis

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EP: 1.Overview of Bronchiectasis

EP: 2.Prognosis For Patients Diagnosed With Bronchiectasis

EP: 3.Indicators Leading to Bronchiectasis Testing and Diagnosis

EP: 4.Complications Associated With Bronchiectasis

EP: 5.Current Treatment Options For Bronchiectasis

EP: 6.Respiratory and Physical Therapists Contributing to Comprehensive Bronchiectasis Care

EP: 7.Key Areas of Research and Emerging Therapies In Bronchiectasis Treatment

EP: 8.Diagnosing and Understanding the Pathogenesis of Bronchiectasis

EP: 9.Improving Long-Term Outlook: CT Scans and Underdiagnosis of Bronchiectasis

EP: 10.Bronchiectasis Exacerbation Management

EP: 11.Social Burden and Goals of Therapy for Patients with Bronchiectasis

EP: 12.Patient Specific Factors: Guiding Treatment in Bronchiectasis

EP: 13.Individualized Therapy for Specific Infections Associated with Bronchiectasis

EP: 14.Other Challenges With Bronchiectasis and Key Takeaways

EP: 15.Identifying Bronchiectasis: Key Clinical Presentations to Consider

EP: 16.Differentiating Bronchiectasis from COPD and Understanding Exacerbations

EP: 17.Long-Term Impact of Bronchiectasis Exacerbations: Disease Progression, Patient Outcomes, and Economic Burden

EP: 18.Managing Bronchiectasis: Treatment Goals, Outcome Measures, and Clinical Decision Resources

EP: 19.Addressing Knowledge Gaps and Treatment Strategies in Bronchiectasis

EP: 20.Challenges and Future Directions in Bronchiectasis Management

This is a video synopsis/summary of an Insights involving Mark Metersky, MD, FCCP, on bronchiectasis.

Bronchiectasis is an increasingly recognized pulmonary condition affecting approximately 400,000 people in the United States. The increased recognition is partly due to an aging population, as bronchiectasis commonly affects older patients, as well as increased diagnosis via chest CT scans. Clinically, bronchiectasis is characterized by chronic cough, usually with chronic daily sputum production, and often exacerbations causing worsened symptoms requiring antibiotics. It is diagnosed by CT scan identifying dilated, enlarged airways (bronchi). Some patients have bronchiectasis incidentally found on CT without significant symptoms, but most have chronic cough.

Exacerbations represent an acute worsening of symptoms like increased cough and sputum production or changes in sputum character, fever, chest pain, weakness, shortness of breath, and sometimes hemoptysis. Exacerbations can be from bacterial or viral causes, though the cause is often unidentified. Most exacerbations are treated with antibiotics.

Bronchiectasis demonstrates heterogeneous causes and manifestations without one typical presentation, though it predominantly affects older females. Symptoms vary widely, from minimal to significant impairment of quality of life with daily cough and copious sputum production, malaise, weakness, and shortness of breath in severe cases. Most patients do not have severe, debilitating disease leading to respiratory failure or death.

Video synopsis is AI-generated and reviewed by AJMCÒ editorial staff.