Diagnosis Examination for Bronchiectasis
* Examination of sputum include sputum volume, sputum color, cells and bacteria in the sputum.
If there is infection will increase the volume of sputum, and become purulent and contained more leukocytes and bacteria. Sputum culture can produce the normal flora of the nasopharynx, streptococcus pneumoniae, haemophilus influenza, stapilokokus aereus, klebsiela, aerobakter, proteus, pseudomonas aeroginosa. If found foul-smelling sputum showed presence of anaerobic infection.
* Examination of peripheral blood.
Usually found within normal limits. Sometimes found there showed leukocytosis and anemia active suppuration indicate the presence of a chronic infection.
* Examination of urine
Found within normal limits, sometimes found any significant proteinuria is caused by amyloidosis, serum immunoglobulins, but usually within normal limits Kadan may increase or decrease.
* Examination of the ECG
Normal ECG within normal limits except in advanced cases corpulmonal existing complications or signs of heart stimulation. Spirometry may be normal in mild cases, but in severe cases there is an abnormality of obstruction with reduced forced expiratory volume in 1 minute or decreased vital capacity, usually accompanied by respiratory insufficiency that can lead to:
o The imbalance of ventilation and perfusion
o Increase in differences in alveolar-arterial pO 2 pressure
o Hypoxaemia
o hypercapnia
* Additional examination conducted to determine the predisposing factors pemerisaan:
o Examination of immunological
o Examination of spermatozoa
o Biopsy of bronchial and nasal mucosa (bronchopulmonary repeated).
* Photo chest (AP and Lateral)
Sometimes there is a picture of a wasp nest and the cystic image and the boundaries of the surface of the liquid air. Most of the left lung lobe, because it has a smaller diameter and is located right crosses the mediastinum, the left upper lobe segment of the lingual and medial right lung lobe.
* Examination of bronchography
Bronchography not routinely done but if there are indications in which to evaluate the patient to be operated on the patients with pneumonia confined to one place and repeatedly who showed no clinical improvement after receiving conservative treatment or patients with massive hemoptysis.
Bronchography done sertelah stable state that, through the provision of antibiotics and postural drainage are adequate so that the net of bronchial secretions.
If there is infection will increase the volume of sputum, and become purulent and contained more leukocytes and bacteria. Sputum culture can produce the normal flora of the nasopharynx, streptococcus pneumoniae, haemophilus influenza, stapilokokus aereus, klebsiela, aerobakter, proteus, pseudomonas aeroginosa. If found foul-smelling sputum showed presence of anaerobic infection.
* Examination of peripheral blood.
Usually found within normal limits. Sometimes found there showed leukocytosis and anemia active suppuration indicate the presence of a chronic infection.
* Examination of urine
Found within normal limits, sometimes found any significant proteinuria is caused by amyloidosis, serum immunoglobulins, but usually within normal limits Kadan may increase or decrease.
* Examination of the ECG
Normal ECG within normal limits except in advanced cases corpulmonal existing complications or signs of heart stimulation. Spirometry may be normal in mild cases, but in severe cases there is an abnormality of obstruction with reduced forced expiratory volume in 1 minute or decreased vital capacity, usually accompanied by respiratory insufficiency that can lead to:
o The imbalance of ventilation and perfusion
o Increase in differences in alveolar-arterial pO 2 pressure
o Hypoxaemia
o hypercapnia
* Additional examination conducted to determine the predisposing factors pemerisaan:
o Examination of immunological
o Examination of spermatozoa
o Biopsy of bronchial and nasal mucosa (bronchopulmonary repeated).
* Photo chest (AP and Lateral)
Sometimes there is a picture of a wasp nest and the cystic image and the boundaries of the surface of the liquid air. Most of the left lung lobe, because it has a smaller diameter and is located right crosses the mediastinum, the left upper lobe segment of the lingual and medial right lung lobe.
* Examination of bronchography
Bronchography not routinely done but if there are indications in which to evaluate the patient to be operated on the patients with pneumonia confined to one place and repeatedly who showed no clinical improvement after receiving conservative treatment or patients with massive hemoptysis.
Bronchography done sertelah stable state that, through the provision of antibiotics and postural drainage are adequate so that the net of bronchial secretions.
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