Chronic bronchitis differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Chronic bronchitis must be differentiated from congestive heart failure, chronic asthma, bronchiectasis, and bronchiolitis obliterans.
Differential Diagnosis
| Disease | Findings |
|---|---|
| Congestive heart failure | Features with orthopnea, paroxysmal nocturnal dyspnea, fine crackles on auscultation, and chest x ray findings of cardiac enlargement and pulmonary congestion (Kerley B lines, and pleural effusion) |
| Bronchiectasis | Presents copious purulent sputum, coarse crackles, clubbing and CT findings suggestive of bronchiectasis[1] |
| Asthma | Presents with cough, dyspnea and wheezing and typically is a chronic condition which has started from childhood[1] |
| Bronchiolitis obliterans | Has history of collagen vascular disease, usually young patient without a history of smoking and CT scan shows finding of mosaic attenuation and no evidence of emphysema |
| Pneumonia | Presents with acute fever, cough and shortness of breath, although pulmonary infiltrate on chest X-ray is an imaging finding[2]. |
References
- ↑ 1.0 1.1 Busse WW (2011). "Asthma diagnosis and treatment: filling in the information gaps". J. Allergy Clin. Immunol. 128 (4): 740–50. doi:10.1016/j.jaci.2011.08.014. PMID 21875745.
- ↑ Prina E, Ranzani OT, Torres A (2015). "Community-acquired pneumonia". Lancet. 386 (9998): 1097–108. doi:10.1016/S0140-6736(15)60733-4. PMID 26277247.