In a patient with post-tuberculosis bronchiectasis, which of the following will you observe on auscultation?
(A) Late inspiratory crackles (B) Bibasilar crepts (C) Both early and late inspiratory crackles (D) Tubular breath sounds
(C) Ans: C. Both early and late inspiratory crackles(Ref: Harrison 19/e p1661-1665, 18/e p2143)Post-tuberculous bronchiectasis affect one lung only & produce coarse crackles, which are usually biphasic.Bihasilar crepitations:Typical of fluid overload (due to pulmonary edema).Occur in both inspiration and expiration. Combination of coarse and fine crackles.Feature of bronchiectasis.Related to a combination of secretions and increased compliance of the walls in larger airways."Late inspiratory fine crackles - In COPD or pneumonia.Tubular breathing - In Lung consolidation.