What is your approach to initial work up for a young patient with bronchiectasis?

I assume we are talking about patients in their 20s, 30s-50s who have had a HRCT with radiological bronchiectasis. It will be good to know if they have had clinical implications and symptoms of cough, infections, and mucus production. It will be good to know about multiorgan involvement like sinuses...

The diagnosis of bronchiectasis in a young adult is suggestive of a heritable or immune condition that warrants further evaluation. One would want to ask about potentially affected non-pulmonary systems, such as sinus disease, infertility, and digestive diseases, as well as family history of the sam...