Bronchi

Bronchiectasis is permanent, abnormal dilatation of the bronchi with chronic inflammation and infection, leading to a clinical syndrome of chronic productive cough, recurrent chest infections and sometimes haemoptysis.

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Study material on Bronchi

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Photomicrograph of pseudostratified ciliated columnar epithelium
Photomicrograph of pseudostratified ciliated columnar epithelium

Practice questions on Bronchi

A previously healthy 5-year-old girl has fever, expiratory wheezes, and suddenly worsening dyspnea. WBC is 14,480. Emergency bronchoscopy reveals bronchi plugged by exudates. Most likely organism?

Answer: C. High WBC + bronchi plugged by fibrin-rich neutrophilic exudates in a child after descending laryngotracheobronchitis = Haemophilus influenzae. Can cause bronchopneumonia with airway obstruction. ---

A 41-year-old woman has episodic dyspnea with expiratory wheezes, elevated serum IgE, peripheral eosinophilia, sputum eosinophils, perihilar bronchiectasis on CXR, and detectable serum galactomannan. Most likely pathologic finding in her bronchi?

Answer: D. Elevated IgE + eosinophilia + galactomannan (Aspergillus cell wall component) + bronchiectasis + asthma exacerbations = allergic bronchopulmonary aspergillosis (ABPA). The fungus colonizes bronchi non-invasively. ---

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