Bronchitis differential diagnosis: Difference between revisions

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{{CMG}}
__NOTOC__
 
{{Bronchitis}}
{{Bronchitis}}
{{CMG}}{{AE}}{{MehdiP}}; {{NRM}}
==Overview==
Bronchitis must be differentiated from other diseases that cause cough such as [[asthma]], [[pneumonia]], [[bronchiectasis]] and [[CHF]].


==Overview==
==Differential Diagnosis==
The [[Bronchitis]] must be differentiated from other diseases that may cause cough, dyspnea and wheezing<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>.


==Complete Differential Diagnosis of the Causes of Bronchitis==
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
(By organ system)
|+
{|style="width:75%; height:100px" border="1"
! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFFFFF|Disease}}
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFFFFF|Findings}}
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Gastroesophageal Reflux Disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[Influenza]], [[Pharyngitis]], [[Sinusitis]], [[Streptococcus Group A infection]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| [[Brain Abscess]], [[Herpes Simplex Encephalitis]], [[Meningitis]], [[Status Epilepticus]], [[Subarachnoid Hemorrhage]]
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| Hypoglycemia
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Pneumonia]]'''
| '''Pulmonary'''
| style="padding: 5px 5px; background: #F5F5DC;" |Presents with acute [[fever]], [[cough]] and shortness of breath, although pulmonary infiltrate on chest x-ray is an imaging finding.<ref name="pmid26277247">{{cite journal |vauthors=Prina E, Ranzani OT, Torres A |title=Community-acquired pneumonia |journal=Lancet |volume=386 |issue=9998 |pages=1097–108 |year=2015 |pmid=26277247 |doi=10.1016/S0140-6736(15)60733-4 |url=}}</ref>
|bgcolor="Beige"| Alpha1-Antitrypsin Deficiency, Asthma , Bronchiectasis, Bronchiolitis,
|-
|-
|-bgcolor="LightSteelBlue"
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Asthma]]'''
| '''Renal / Electrolyte'''
| style="padding: 5px 5px; background: #F5F5DC;" |Presents with cough, [[dyspnea]] and [[wheezing]] and typically is a chronic condition which typically starts during childhood.<ref name="pmid21875745">{{cite journal |vauthors=Busse WW |title=Asthma diagnosis and treatment: filling in the information gaps |journal=J. Allergy Clin. Immunol. |volume=128 |issue=4 |pages=740–50 |year=2011 |pmid=21875745 |doi=10.1016/j.jaci.2011.08.014 |url=}}</ref>
|bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Bronchiectasis]]'''
| '''Rheum / Immune / Allergy'''
| style="padding: 5px 5px; background: #F5F5DC;" |Presents copious purulent [[sputum]], coarse crackles, [[clubbing]] and CT findings suggestive of bronchiectasis.<ref name="pmid21875745">{{cite journal |vauthors=Busse WW |title=Asthma diagnosis and treatment: filling in the information gaps |journal=J. Allergy Clin. Immunol. |volume=128 |issue=4 |pages=740–50 |year=2011 |pmid=21875745 |doi=10.1016/j.jaci.2011.08.014 |url=}}</ref>
|bgcolor="Beige"| [[Systemic Lupus Erythematosus]]
|-
|-
|-bgcolor="LightSteelBlue"
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Gastroesophageal Reflux Disease]]'''
| '''Sexual'''
| style="padding: 5px 5px; background: #F5F5DC;" | May present with chronic dry cough but the typical symptom is [[heart burn]].<ref name="pmid19969583">{{cite journal |vauthors=Singh A |title=Asthma in older adults |journal=CMAJ |volume=181 |issue=12 |pages=929 |year=2009 |pmid=19969583 |pmc=2789137 |doi=10.1503/cmaj.109-2049 |url=}}</ref><ref name="pmid16428686">{{cite journal |vauthors=Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, Brown KK, Canning BJ, Chang AB, Dicpinigaitis PV, Eccles R, Glomb WB, Goldstein LB, Graham LM, Hargreave FE, Kvale PA, Lewis SZ, McCool FD, McCrory DC, Prakash UB, Pratter MR, Rosen MJ, Schulman E, Shannon JJ, Smith Hammond C, Tarlo SM |title=Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=1S–23S |year=2006 |pmid=16428686 |pmc=3345522 |doi=10.1378/chest.129.1_suppl.1S |url=}}</ref>
|bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Congestive heart failure]]'''
| '''Trauma'''
| style="padding: 5px 5px; background: #F5F5DC;" | 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]]).
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|-
|-
|}
|}
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:General practice]]
[[Category:General practice]]
[[Category:Infectious disease]]
[[Category:Needs content]]
[[Category:Overview complete]]
 
 
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Latest revision as of 20:44, 29 July 2020


Bronchitis Main page

Patient Information

Overview

Causes

Classification

Acute bronchitis
Chronic bronchitis

Differential Diagnosis

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

Bronchitis must be differentiated from other diseases that cause cough such as asthma, pneumonia, bronchiectasis and CHF.

Differential Diagnosis

The Bronchitis must be differentiated from other diseases that may cause cough, dyspnea and wheezing[1].

Disease Findings
Pneumonia Presents with acute fever, cough and shortness of breath, although pulmonary infiltrate on chest x-ray is an imaging finding.[2]
Asthma Presents with cough, dyspnea and wheezing and typically is a chronic condition which typically starts during childhood.[3]
Bronchiectasis Presents copious purulent sputum, coarse crackles, clubbing and CT findings suggestive of bronchiectasis.[3]
Gastroesophageal Reflux Disease May present with chronic dry cough but the typical symptom is heart burn.[4][5]
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).

References

  1. ↑ Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  2. ↑ 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.
  3. ↑ 3.0 3.1 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.
  4. ↑ Singh A (2009). "Asthma in older adults". CMAJ. 181 (12): 929. doi:10.1503/cmaj.109-2049. PMC 2789137. PMID 19969583.
  5. ↑ Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, Brown KK, Canning BJ, Chang AB, Dicpinigaitis PV, Eccles R, Glomb WB, Goldstein LB, Graham LM, Hargreave FE, Kvale PA, Lewis SZ, McCool FD, McCrory DC, Prakash UB, Pratter MR, Rosen MJ, Schulman E, Shannon JJ, Smith Hammond C, Tarlo SM (2006). "Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines". Chest. 129 (1 Suppl): 1S–23S. doi:10.1378/chest.129.1_suppl.1S. PMC 3345522. PMID 16428686.

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