Sandbox: Bronchiolitis DD
Bronchiolitis should be differentiated with other diseases that cause cough and dysnea.
Diseases | Symptoms | Signs | Diagosis | ||||
---|---|---|---|---|---|---|---|
Fever | Cough | Chest pain | Wheezes | Crackles | Lab tests | Imaging | |
Bronchiolitis | +/- | Dry | + | + |
|
No specific imaging findings. | |
Asthma | - | Dry/Productive | + | - |
|
CT scan shows dilated bronchi, bronchial wall thickening and air trapping. | |
COPD | + | Productive | |||||
Bacterial pneumonia | + | Productive | |||||
Pulmonary embolism | - | Bloody | + | ||||
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia | - | Dry | - | + | - |
|
CT scan shows multiple nodules , ground glass appearance and bronchiectasis. |
Tuberculosis | + | Bloody | |||||
Interstitial pneumonitis (Hamman - Rich syndrome) | + | Productive | |||||
Foreign body aspiration | - | Dry | |||||
Sarcoidosis | - | Dry | |||||
Pertussis | + | Dry | - | - |
|
No remarkable imaging findings. | |
Congestive heart failure | - | Dry/Productive |
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).