Bronchiectasis Initial Workup [.phrase]

Written By Christian Castaneda

.CCBEWorkUp

• PFTs
• HRCT
• CBC with diff, IgG, IgA, IgM
• RF/CCP, SSA, SSB
• IgE (per BTS)
• Aspergillus precipitins (per BTS)
• IgG Subclasses
• A1AT level/genotype
• Sinus CT
• Sputum Bacterial, Mycobacterial, and Fungal cultures
• Consider bronchoscopy with endobronchial biopsy and BAL
• Testing for PCD and CF (first line if under 40yo)
• Antibody titers to pneumococcal vaccination (per BTS)
• Aspiration and GERD evaluation”

Possible etiologies of bronchiectasis reviewed. While most commonly post-infectious, COPD related, or CTD related. Other possibilities considered include:

Christian Castaneda
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Bronchiectasis Airway Clearance [.phrase]