Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic productive cough, recurrent lower respiratory tract infections, and exertional dyspnea. History significant for excessive tracheobronchial dilation. Symptoms exacerbated by ineffective airway clearance and pooling of secretions. No history of connective tissue disorders or smoking-related COPD.
Clinical Examination Findings
Chest examination reveals coarse crackles and rhonchi on auscultation, particularly in lower lung fields. Signs of airway collapse noted during forced expiration. Tracheal diameter measured at [X] mm and bronchial diameters at [Y] mm on imaging, confirming tracheobronchomegaly. No signs of acute respiratory distress or cyanosis at rest.
Treatment Protocol
Management plan includes aggressive pulmonary hygiene, regular chest physiotherapy, and postural drainage to facilitate secretion clearance. Prophylactic antibiotics indicated for recurrent bacterial infections. Bronchodilators prescribed for symptomatic relief. Surgical intervention (tracheobronchoplasty) considered if airway instability leads to severe respiratory failure.