Acute bronchitis history and symptoms: Difference between revisions
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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.