CHEST COPD Immersion June 2025-Bronchiectasis Cases Small group Discussion Workshop

Bronchiectasis Cases Small group Discussion Workshop_O'Donnell

Pdf Summary

The presentation by Dr. Anne O’Donnell from MedStar Georgetown University Hospital covers the topic of bronchiectasis, an illness characterized by permanent dilation of the airways, and discusses its diagnosis and management through case studies. Bronchiectasis is complex as its causes are diverse, with 20-30% of cases unknown. The condition can lead to complications such as infection, bleeding, and progressive airway damage.<br /><br />Dr. O’Donnell highlights the necessity of thorough diagnostic testing, which includes imaging (such as chest X-rays and CT scans), respiratory cultures, pulmonary function testing, and comprehensive blood tests to identify any underlying diseases that could be contributing to bronchiectasis. No therapies are FDA-approved for bronchiectasis yet, making personalized treatment even more crucial.<br /><br />The presentation reviews multiple case studies, each illustrating different patient backgrounds and manifestations of bronchiectasis. For instance, in one case, a 73-year-old female with a history of tuberculosis demonstrates the presence of Pseudomonas aeruginosa. Another case involves a 45-year-old male with lifelong symptoms and multiple infections. Each case study prompts critical questions regarding the etiology of bronchiectasis, necessary diagnostic work-up, and personalized treatment plans.<br /><br />Treatment strategies aim to interrupt the vicious cycle of bronchiectasis by addressing underlying diseases, enhancing airway clearance through mechanical, exercise, and pharmacological methods, and targeting specific organisms with antibiotics, including inhaled and oral forms. There is emphasis on treating exacerbations promptly and eradicating first-time isolation of pathogens.<br /><br />The summary underscores that bronchiectasis predominantly affects older females, reiterates the necessity of systematic evaluation, and advocates for personalized treatment plans due to the varied etiologies of the disease. This approach ensures that each patient receives individualized care based on their specific clinical profile and needs.

Keywords

bronchiectasis

diagnosis

case studies

airway dilation

personalized treatment

diagnostic testing

airway clearance

Pseudomonas aeruginosa

pulmonary function testing

etiology