Acute Bronchitis

Question 1

Etiology - What causes AB?

Answer 1

95-98% caused by virus

Coronavirus, Rhinovirus, influenza/parainfluenza, RSV.

Question 2

itus

Answer 2

= inflamation

Question 3

AB - affects which airways and starts where?

Answer 3

Starts in upper airways and affects the lower AWs.

Question 4

Secondary AB from bacterial infections from

Answer 4

S. pueumoniae, H. Flu, Mycoplasma, B. Purtusis

Question 5

What symptom is not associated with AB?

Answer 5

Fever

Question 6

Symptom triad of AB

Answer 6

rhinitis, cough, pharyngitis

Question 7

How long will cough last with AB?

Answer 7

1-3 weeks it will be the last thing to go away.

Question 8

How do you tx?

Answer 8

Antitussive, NSAIDs

Question 9

If cough continues beyond 3 weeks

Answer 9

DD/DX most common PNDS (post nasal drip syn.)

possible GERD, Asthma, Pertussis.

Question 10

Which DD/Dx requires ABX Tx?

Answer 10

Pertussis is paroxysmal and would require ABX Tx and is reportable to

Question 11

When should CXR be done?

Answer 11

Changes in VS in elderly.
Rales, consolidation
>75yo with cough
Fever

Question 12

If COPD patient presents with unilateral supraclavicular node on palpation…

Answer 12

These drain the chest and if unilateral R have to think lung tumor, if L heart failure, if Bilateral infection, or COPD.

Question 13

Unilateral findings anywhere in the body….

Answer 13

Should always go looking for unilateral Dx.