PATHOPHYSIOLOGY: Etiologic Factors Pulmonary Infection Walls become distended and distorted Inflammatory Process Damage in bronchial walls

Productive cough Hemoptysis Loss of supporting structure

Impaired mucociliary clearance

In saccular bronchiectasis: Dilated peribronchial tube virtually amounts to a lung abscess Exudates freely flow through the bronchus Localized in a segment or lobe of a lung (usually in lower lobes) Retention of secretion

Obstructs bronchi

Decreased lung compliance

Difficulty in breathing

Respiratory Insufficiency

Clubbing of fingers

Increased ratio of residual vol. to total lung capacity Decreased vital capacity Decreased ventilation

Ventilation perfusion imbalance Fibrosis

Hypoxemia

Atelectasis