Acute bronchitis history and symptoms: Difference between revisions

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__NOTOC__
__NOTOC__
{{Acute bronchitis}}
{{Acute bronchitis}}
{{CMG}}; {{AE}} {{MehdiP}}
{{CMG}}; {{AE}} {{MehdiP}}; {{NRM}}


==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.
==History==
The patient presents with [[cough]] and [[wheezing]] that may have started with or without [[fever]].<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>
==Symptoms==
Symptoms of acute bronchitis are typically related to irritation of airways. Sometimes, constitutional symptoms are present.<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>


==Symptoms==
===Bronchial irritation symptoms===
Symptoms of [[acute bronchitis]]are typically related to irritation of airways. Sometimes, constitutional symptoms presents<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>.
*[[Cough]]
*[[Hoarseness]]
*Phlegm production
<font size="1">Note: that despite common sense,phlegm production does not necessarily indicate bacterial infection.<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></font>


'''1. Bronchial irritation symptoms:'''
===Constitutional Symptoms===
:*[[Cough]]
*[[Chest pain]]
:*[[Hoarseness]]
*[[Fever]]
:*Phlegm production
*[[Malaise]]
<font size="1">Note that despite common sense,phlegm production does not necessarily indicate bacterial infection.</font>
*[[Myalgia]]


'''2. Constitutional Symptoms:'''
===Additional Symptoms Based on Different Pathogens<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>===
:*[[Chest pain]]
====Influenza Virus & Adenovirus====
:*[[Fever]]
* [[Fever]], [[chills]], [[headache]], [[myalgia]]
:*[[malaise]]
* Bronchitis caused by [[Adenovirus]] may cause systemic and gastrointestinal symptoms.<ref>{{cite web |url=http://www.cdc.gov/mmwR/preview/mmwrhtml/00053922.htm |title=Civilian Outbreak of Adenovirus Acute Respiratory Disease -- South Dakota, 1997 |accessdate=2007-10-08 |format= |work=}}</ref>
:*[[Myalgia]]
====Parainfluenza Virus====
* Children may present with [[stridor]] and difficultly 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====
* Commonly affects young adults
* Incubation period of 1-3 weeks
* [[Cough]] lasting > 2 weeks
* [[Fever]] uncommon


Bronchitis caused by [[Adenovirus]] may cause systemic and gastroentestinal symptoms.<ref>{{cite web |url=http://www.cdc.gov/mmwR/preview/mmwrhtml/00053922.htm |title=Civilian Outbreak of Adenovirus Acute Respiratory Disease -- South Dakota, 1997 |accessdate=2007-10-08 |format= |work=}}</ref>
====Mycoplasma Pneumoniae & Chlamydiae Pneumonia====
* Subacute onset, 2-3 week (helps in differentiating from [[influenza]])
* Common in closed environment (military bases, schools, hostels)


== References ==
== References ==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Overview complete]]
[[Category:Overview complete]]
[[Category:Emergency medicine]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]

Latest revision as of 20:15, 29 July 2020

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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]; Nate Michalak, B.A.

Overview

Careful history taking and physical examination may lead to specific etiologic findings.[1][2] Symptoms include bronchial irritation symptoms and constitutional symptoms.

History

The patient presents with cough and wheezing that may have started with or without fever.[3]

Symptoms

Symptoms of acute bronchitis are typically related to irritation of airways. Sometimes, constitutional symptoms are present.[3]

Bronchial irritation symptoms

Note: that despite common sense,phlegm production does not necessarily indicate bacterial infection.[3]

Constitutional Symptoms

Additional Symptoms Based on Different Pathogens[1]

Influenza Virus & Adenovirus

Parainfluenza Virus

  • Children may present with stridor and difficultly 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

  • Commonly affects young adults
  • Incubation period of 1-3 weeks
  • Cough lasting > 2 weeks
  • Fever uncommon

Mycoplasma Pneumoniae & Chlamydiae Pneumonia

  • Subacute onset, 2-3 week (helps in differentiating from influenza)
  • Common in closed environment (military bases, schools, hostels)

References

  1. ↑ 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.
  2. ↑ 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. ↑ 3.0 3.1 3.2 Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  4. ↑ "Civilian Outbreak of Adenovirus Acute Respiratory Disease -- South Dakota, 1997". Retrieved 2007-10-08.


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