Sandbox: Bronchiolitis DD: Difference between revisions
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* Nasopharyngeal swab | * Nasopharyngeal swab | ||
* Culture | * Culture | ||
* Serology to detect pertussis toxin. | * Serology to detect pertussis toxin.<ref name="CDC4">[http://www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosis-confirmation.html Pertussis (whooping coug). Diagnosis confirmation. CDC.gov. Accessed on June 22, 2017]</ref><ref name="CDC3">[http://www.cdc.gov/pertussis/clinical/diagnostic-testing/specimen-collection.html Pertussis (whooping cough). Specimen collection. CDC.gov. Accessed on June 22, 2017] </ref> | ||
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* No remarkable imaging findings. | * No remarkable imaging findings. |
Revision as of 16:14, 22 June 2017
Bronchiolitis should be differentiated with other diseases that cause cough and dysnea.
Diseases | Symptoms | Signs | Diagosis | ||||||
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Fever | Cough | Chest pain | Wheezes | Crackles | Edema | Tachycardia | Lab tests | Imaging | |
Bronchiolitis | +/- | Dry | - | + | + | - | +/- |
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Asthma | - | Dry/Productive | - | + | - | + Pulmonary edema | - |
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COPD | + | Productive | |||||||
Bacterial pneumonia | + | Productive | |||||||
Pulmonary embolism | - | Bloody | + | + | |||||
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia | - | Dry | - | + | - |
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Tuberculosis | + | Bloody | |||||||
Interstitial pneumonitis (Hamman - Rich syndrome) | + | Productive | |||||||
Foreign body aspiration | - | Dry | |||||||
Sarcoidosis | - | Dry | |||||||
Pertussis | + | Dry | - | - |
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Congestive heart failure | - | Dry/Productive | + while walking | - | - | + | + |
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Differential diagnosis of bronchiolitis: Asthma, COPD, sarcoidosis, pneumonia, heart failure, DIPNECH, foreign body inhalation, pulmonary embolism and GERD (in case it is associated with asthma).
References
- ↑ Ghanei M, Tazelaar HD, Chilosi M, Harandi AA, Peyman M, Akbari HM; et al. (2008). "An international collaborative pathologic study of surgical lung biopsies from mustard gas-exposed patients". Respir Med. 102 (6): 825–30. doi:10.1016/j.rmed.2008.01.016. PMID 18339530.
- ↑ Pertussis (whooping coug). Diagnosis confirmation. CDC.gov. Accessed on June 22, 2017
- ↑ Pertussis (whooping cough). Specimen collection. CDC.gov. Accessed on June 22, 2017