A 59 year old woman presents complaining of a cough productive of sputum for nearly 10 years. Her cough occurs during the day, and she produces sputum daily. The woman states that as a child, she had several episodes of pneumonia requiring hospitalization and antibiotics. Several times a year, her sputum becomes purulent and she requires antibiotic therapy. She denies smoking cigarettes and has worked as a seamstress all her life. On physical examination, the lungs are clear without wheezes, rhonchi or crackles. A chest radiograph reveals tram-track markings at the bases. Which of the following is the most likely diagnosis?
A. Asthma
B. Cystic Fibrosis
C. Chronic bronchitis
D. Emphysema
E. Bronchiectasis
2007-03-04 05:56:56 · 3 answers · asked by anjusk_18 1 in Health ➔ Diseases & Conditions ➔ Respiratory Diseases
The correct answer is E: Bronchiectasis.
Since she was sick growing up & has worked as a seamstress most of her life she has been breathing in the material causing her bronchi to get inflammed.
2007-03-04 09:35:58 · answer #1 · answered by ~Sheila~ 5 · 1⤊ 0⤋
I would agree - E is the most likely which explains her increased infections due to pooling of fluid in lung!
2007-03-06 07:35:45 · answer #2 · answered by mustlovedogs0 4 · 0⤊ 0⤋
I have eliminated all of them except E based on what you explained.
2007-03-04 16:33:52 · answer #3 · answered by Anonymous · 0⤊ 0⤋