THIS PRESENTATION IS MADE FOR ONLY LEARNING PURPOSE OF FINAL YEAR BPT STUDENTS AND INCLUDES DEFINITION, CLINICAL FEATURES, ASSESSMENT AND PHYSIOTHERAPY MANAGEMENT.

1. BRONCHIECTASIS
DR.SAMIRJADAV (PT)

2. CONTENTS
• DEFINITION
• CLINICAL FEATURES
• ASSESSMENT
• PT MGMT

3. DEFINITION
 It is chronic inflammatory disease of lung, defined as
dilation & destruction of bronchi. It is result from impaired
lung defence which result in repeated infection,
inflammation & destruction of the airways.
 Bronchiectasis is an abnormal dilatation of the one or
more bronchi associated with obstruction and infection.

4. CLINICAL FEATURES
• Dyspnoea
• Bronchospasm
• Cough with purulent sputum
• Sputum : green, foul smelling, large volume
• Cough first on morning then persistent type
• Haemoptysis ( acute infection)
• Clubbing (finger and toes clubbed)
• Reduced thoracic mobility

5. ASSESSMENT (MOCK)
DEMOGRAPHIC DETAILS
CHIEF COMPLAINTS
-Patient complaints of cough which is troublesome on
change of position and on rising first in the morning.
-Difficulty in breathing.
-patient also complaints of blood in sputum.
HISTORY
H/O PRESENT ILLNESS:

6.  It can often begin from childhood (cystic fibrosis), by diagnosis
is not usually made until adult life.
 Usually after infection, damage to the bronchial tree is seen.
PAST MEDICAL HISTORY :
-No other medical conditions in past.
DRUG HISTORY : Not given.
FAMILY HISTORY :
-There is no family history of this
condition.

7. SOCIAL HISTORY :
-Patient belongs to middle class family.
PERSONAL HISTORY :
-(smoke, alcohol)
SUBJECTIVE ASSESSMENT
COUGH : Productive
DYSPNOEA : Present
Grade-1(NYHA scale)
SPUTUM : Purulent
HAEMOPTYSIS : Present
WHEEZE : Present

8. OTHER SYMPTOMS : Fatigue, weakness,
night sweat, joint pain.
OBJECTIVE ASSESSMENT
GENERAL OBSERVATION
- Patient seems to be breathless.
LEVEL OF CONSCIOUSNESS
- GCS scale
BODY BUILT
OBSERVATION OF CHEST
CHEST SHAPE :- Barrel chest
CHEST MOVEMENT :- Bilateral diminished

9. BREATHING PATTERN :- According to gender
TYPE OF BREATHING :- Obstructive breathing
ON EXAMINATION
(VITALS)
TEMPERATURE :- Increase is seen.
RESPI. RATE :- Tachypnea
HEART RATE :-
BLOOD PRESSURE :-

10. ON PALPATION
TRACHEA : Normal/Central
TENDERNESS : Absent
TVF : Reduced
CHEST EXPANSION : Reduced on affected side.
ON PERCUSSION
-Hyper resonant type on percussion.

11. ON AUSCULTATION
-BREATH SOUNDS : Vesicular
-FOREIGN SOUNDS : Wheeze, Crackles
INVESTIGATIONS
1)HAEMOGRAM :
-Shows neutrophilic leucocytosis during the
acute infective phase.

12. 2) ESR : Raised
3) SPUTUM : Thick and purulent with plenty of pus cells.
4) X-RAY FINDINGS : May be normal or may show multiple
ring shadows.
5) BRONCHOSCOPY : Outlines the bronchi and
demonstrates the distinct bronchial
dilatation.
6) PULMONARY FUNCTION TESTS :
 Increased TLC, FRC, RV due to
overinflation of lungs.
 Decreased FEV1/FVC Ratio.

13. DIAGNOSIS : BRONCHIECTASIS
PT MGMT : - SEE ‘PULMONARY DISEASE PT MGMT’
PPT