Acute bronchitis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Careful history taking and physical examination may lead to specific etiologic findings<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref><ref name="pmid17543257">{{cite journal |vauthors=Graffelman AW, le Cessie S, Knuistingh Neven A, Wilemssen FE, Zonderland HM, van den Broek PJ |title=Can history and exam alone reliably predict pneumonia? |journal=J Fam Pract |volume=56 |issue=6 |pages=465–70 |year=2007 |pmid=17543257 |doi= |url=}}</ref>. | Careful history taking and physical examination may lead to specific etiologic findings<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref><ref name="pmid17543257">{{cite journal |vauthors=Graffelman AW, le Cessie S, Knuistingh Neven A, Wilemssen FE, Zonderland HM, van den Broek PJ |title=Can history and exam alone reliably predict pneumonia? |journal=J Fam Pract |volume=56 |issue=6 |pages=465–70 |year=2007 |pmid=17543257 |doi= |url=}}</ref>. Symptoms include bronchial irritation symptoms and constitutional symptoms. Cough and dyspnea | ||
==History== | ==History== | ||
The patient presents with cough and wheezing that started lately with or without fever. The other symptoms include malaise and myalgia<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref>.. | The patient presents with cough and wheezing that started lately with or without fever. The other symptoms include malaise and myalgia<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref>.. |
Revision as of 20:41, 14 September 2016
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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
Careful history taking and physical examination may lead to specific etiologic findings[1][2]. Symptoms include bronchial irritation symptoms and constitutional symptoms. Cough and dyspnea
History
The patient presents with cough and wheezing that started lately with or without fever. The other symptoms include malaise and myalgia[3]..
Symptoms
Symptoms of acute bronchitisare typically related to irritation of airways. Sometimes, constitutional symptoms presents[3].
1. Bronchial irritation symptoms:
- Cough
- Hoarseness
- Phlegm production
Note that despite common sense,phlegm production does not necessarily indicate bacterial infection[3].
2. Constitutional Symptoms:
Additional Symptoms Based on Different Pathogens[1]
Influenza Virus, Adenovirus
- Fever, chills, headache, myalgia
- Bronchitis caused by Adenovirus may cause systemic and gastroentestinal symptoms.[4]
Parainfluenza Virus
- Children may present with a hoarse, ringing cough and stridulous, difficult breathing
- Common in autumn season
- Common cause of outbreak in nursing homes.
Respiratory Syncytial Virus
- Common in winter and spring.
- Family history of exposure to an infant with bronchiolitis is important.
Rhinovirus
- Mild symptoms
Atypical Bacteria
Bordetella Pertusis
Mycoplasma Pneumoniae and Chlamydiae Pneumonia
- Subacute onset, 2-3 week (helps in differentiating from Influenza)
- Common in closed environment (military bases, schools, hostels)
References
- ↑ 1.0 1.1 Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. doi:10.1056/NEJMcp061493. PMID 17108344.
- ↑ Graffelman AW, le Cessie S, Knuistingh Neven A, Wilemssen FE, Zonderland HM, van den Broek PJ (2007). "Can history and exam alone reliably predict pneumonia?". J Fam Pract. 56 (6): 465–70. PMID 17543257.
- ↑ 3.0 3.1 3.2 Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
- ↑ "Civilian Outbreak of Adenovirus Acute Respiratory Disease -- South Dakota, 1997". Retrieved 2007-10-08.