45-year-old presents with persistent productive cough and clubbing. On auscultation, wheeze and crackles are present. Which is the most specific investigation to confirm the diagnosis?
Correct Answer: HRCT
Description: Ans. a. HRCTPersistence of a productive cough, clubbing, wheeze, and crackles is suggestive of bronchiectasis. HRCT is the diagnostic procedure of choice (most specific).HRCT findings in bronchiectasis:Airway dilation (detected as parallel "tram tracks" or as the "signet-ring sign").Lack of bronchial taperingBronchial wall thickening in dilated airwaysInspissated secretions (e.g., the "tree-in-bud" pattern)Cysts emanating from the bronchial wall (especially pronounced in cystic bronchiectasis)
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now