Bronchitis differential diagnosis: Difference between revisions

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{{CMG}}
{{Bronchitis}}
{{Bronchitis}}
 
{{CMG}}{{AE}}{{MehdiP}}
==Overview==
==Overview==
Bronchitis must be differentiated from other diseases that cause cough such as [[asthma]] and [[bronchiolitis]].  Bronchitis must also be differentiated from [[COPD]], [[influenza]], [[pharyngitis]] and [[sinusitis]].
Bronchitis must be differentiated from other diseases that cause cough such as [[asthma]],[[Pneumonia]],[[Bronchectasis]] and [[CHF]].


==Differential Diagnosis==
==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>.


[[Acute bronchitis]] ([[inflammation]] of large airways) should be differentiated from [[asthma]] or [[bronchiolitis]] (acute inflammation of the small airways). Asthma and Bronchiolitis generally presents with cough accompanied by [[wheezing]], [[tachypnea]], respiratory distress, and [[hypoxemia]]. Whereas, bronchitis usually presents with cough last usually for 10 days with or without sputum. It should also be distinguished from [[bronchiectasis]] that is associated with chronic cough (due to permanent dilatation of bronchi). Additionally, [[chronic bronchitis]] should be ruled out. The diagnosis of chronic bronchitis is made in patients who have cough and sputum production on most days of the month for at least 3 months of the year during 2 consecutive years. Other diagnosis to keep in mind as differentials are: [[COPD]], [[influenza]], [[pharyngitis]] and [[sinusitis]].
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
 
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Bronchitis must be differentiated from:
! style="background: #FFE4B5; width: 120px;" | {{fontcolor|#000|Disease}}
*[[Asthma]]
! style="background: #FFDAB9; width: 550px;" | {{fontcolor|#000|Findings}}
*[[Bronchiolitis]]
|-
*[[COPD]],  
| style="padding: 5px 5px; background: #FFC0CB;" |'''[[Pneumonia]]'''
*[[Influenza]]
| 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>.
*[[Pharyngitis]]
|-
*[[Sinusitis]].
| style="padding: 5px 5px; background: #FFC0CB;" | '''[[Asthma]]'''
| style="padding: 5px 5px; background: #F5F5DC;" |Presents with cough, dyspnea and wheezing and typically is a chronic condition which has started from 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>.
|-
| style="padding: 5px 5px; background: #FFC0CB;" | '''[[Bronchectasis]]'''
| 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>.
|-
| style="padding: 5px 5px; background: #FFC0CB;" | '''[[Gastroesophageal Reflux Disease]]'''
| 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>.
|-
| style="padding: 5px 5px; background: #FFC0CB;" | '''[[Congestive heart failure]]'''
| style="padding: 5px 5px; background: #F5F5DC;" | Features with [[orthopnea]],[[paroxysmal nocturnal dyspnea]],fine crackles on ausculatation and chest x ray findings of cardiac enlargement and pulmonary congestion (Kerley B lines, and pleural effusion).
|-
|}


==References==
==References==

Revision as of 16:22, 14 September 2016


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]

Overview

Bronchitis must be differentiated from other diseases that cause cough such as asthma,Pneumonia,Bronchectasis 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 has started from childhood[3].
Bronchectasis 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 ausculatation 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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