Acute bronchitis

Question 1

Acute bronchitis: presentation

Answer 1

inflammation of the trachea and major bronchi

cough: may or may not be productive
sore throat
rhinorrhoea
wheeze

Question 2

Acute bronchitis vs pneumonia

Answer 2

No focal chest signs on examination e.g. dullness to percussion

Question 3

Acute bronchitis: Management

Answer 3

1. analgesia
2. good fluid intake
3. consider ABX:
   - systemically very unwell
   - have pre-existing co-morbidities
   - CRP of 20-100mg/L (offer delayed prescription) or a CRP >100mg/L (offer antibiotics immediately)

• Abx: doxycycline first-line
  (avoid in children or pregnant women –> amoxicillin)