#306 Bronchiectasis and NTM: You can’t get enough sputum!

Take a deep breath and inhale high-yield knowledge molecules about the perplexing conditions known as bronchiectasis and NTM (nontuberculous mycobacteria)! Learn the pitfalls and pearls of diagnosis and management from one of the world’s experts, the great Dr. PJ McShane from UT Health - East Texas!

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Credits

• Writers/Producers: Cyrus Askin MD; Leah Witt MD
• Infographic & Cover Art: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin MD   
• Reviewer: PJ McShane MD
• Editor: Leah Witt MD (written materials); Clair Morgan of nodderly.com
• Guest: PJ McShane MD 

Sponsor: Ten Thousand. 
Ten Thousand is offering our listeners 15% off your next purchase! Go to https://www.tenthousand.cc  and enter code: CURB to receive 15% off your purchase at checkout!

Sponsor: The American College of Physicians 

Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.  

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Show Segments

• Intro, disclaimer, guest bio
• Guest introduction and recommendations
• Case from Kashlak - Part I: The Basics
  • What is bronchiectasis, how do we define it?
  • Symptoms and history
  • Why does it matter?
  • What should you ask, how do you work this up?
  • A brief discussion on antibiotics
• Case from Kashlak - Part II: Getting into the Management
  • Airway Clearance
• Case from Kashlak - Part III: The Sputum (Plot) Thickens
  • What is a bronchiectasis exacerbation?
  • Pitfall and pearls regarding exacerbation management
• Case from Kashlak - Part IV: The Sputum (Plot) Thickens Even Further!
  • Non-tuberculous Mycobacterial Infections - the basics
  • Triple Drug Therapy for MAC
  • The new kid on the block: Liposomal Inhaled Amikacin for refractory MAC
• Summary and take home points from Dr. McShane
• Outro