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== | ==History== | ||
The patient presents with cough and wheezing that started | 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== | ||
Symptoms of | 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> | ||
===Bronchial irritation symptoms=== | ===Bronchial irritation symptoms=== | ||
| Line 14: | Line 14: | ||
*[[Hoarseness]] | *[[Hoarseness]] | ||
*Phlegm production | *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 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> | ||
===Constitutional Symptoms=== | ===Constitutional Symptoms=== | ||
*[[Chest pain]] | *[[Chest pain]] | ||
*[[Fever]] | *[[Fever]] | ||
*[[ | *[[Malaise]] | ||
*[[Myalgia]] | *[[Myalgia]] | ||
===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>=== | ===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>=== | ||
====Influenza Virus | ====Influenza Virus & Adenovirus==== | ||
* Fever, chills, headache, myalgia | * [[Fever]], [[chills]], [[headache]], [[myalgia]] | ||
* 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> | |||
====Parainfluenza Virus==== | ====Parainfluenza Virus==== | ||
* Children may present with | * Children may present with [[stridor]] and difficultly breathing | ||
* Common in autumn season | * Common in autumn season | ||
* Common cause of outbreak in nursing homes | * Common cause of outbreak in nursing homes | ||
====Respiratory Syncytial Virus==== | ====Respiratory Syncytial Virus==== | ||
* Common in winter and spring | * Common in winter and spring | ||
* Family history of exposure to an infant with bronchiolitis is important. | * Family history of exposure to an infant with [[bronchiolitis]] is important. | ||
====Rhinovirus==== | ====Rhinovirus==== | ||
* Mild symptoms | * Mild symptoms | ||
===Atypical Bacteria=== | |||
====Bordetella Pertusis==== | ====Bordetella Pertusis==== | ||
* Commonly affects young adults | * Commonly affects young adults | ||
* Incubation 1-3 weeks | * Incubation period of 1-3 weeks | ||
* [[Cough]] lasting > 2 weeks | * [[Cough]] lasting > 2 weeks | ||
* [[Fever]] uncommon | * [[Fever]] uncommon | ||
====Mycoplasma Pneumoniae | ====Mycoplasma Pneumoniae & Chlamydiae Pneumonia==== | ||
* Subacute onset, 2-3 week (helps in differentiating from [[ | * Subacute onset, 2-3 week (helps in differentiating from [[influenza]]) | ||
* Common in closed environment (military bases, schools, hostels) | * Common in closed environment (military bases, schools, hostels) | ||
Revision as of 14:06, 6 October 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]; 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
- Cough
- Hoarseness
- Phlegm production
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
- Fever, chills, headache, myalgia
- Bronchitis caused by Adenovirus may cause systemic and gastrointestinal symptoms.[4]
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
Mycoplasma Pneumoniae & 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.