Recurrent pneumonia + productive cough sometimes blood tinged = bronchiectasis

vs chronic bronchitis

1) x-ray shows signs of airway thickening (eg, "tram-track" sign, "ring" sign) vs. chronic bronchitis has a normal CXR.

2) hemoptysis is seen in bronchiectasis

3) mucopurulent sputum

4) smoking → bronchitis; infections → bronchiectasis

Bronchophony = a type of pectoriloquy

• Older patient with a lifelong history of recurrent episodes of pneumonia and chronic productive cough (which is consistent with bronchiectasis) who presents with self-limited large-volume hemoptysis and is found to have thin-walled cystic spaces in the RLL with air-fluid levels on chest x-ray, most consistent with bronchiectasis due to airway destruction/dilation secondary to repeated pneumonia
• Key idea: Chronic productive cough = Bronchiectasis (recurrent infections, cystic fibrosis, etc.) or chronic bronchitis (significant smoking history)

https://step-prep.org/tutoring/

Recurrent pneumonia + productive cough sometimes blood tinged = bronchiectasis

vs chronic bronchitis

1) x-ray shows signs of airway thickening (eg, "tram-track" sign, "ring" sign) vs. chronic bronchitis has a normal CXR.

2) hemoptysis is seen in bronchiectasis

3) mucopurulent sputum

4) smoking → bronchitis; infections → bronchiectasis

Bronchophony = a type of pectoriloquy