chronic bronchitis

Question 1

what is the definition of chronic bronchitis

Answer 1

productive coughing that last for more than 3 months in more than 3 consecutive years

simple chronic bronchitis - mucoid sputtum
chronic mucupurulent bronchitis
chrnoic bronchitis with obstruction

Question 2

aetiology of chronic bronchitis

Answer 2

smoking - stop kinesis and surfactant production 
occuptaonal disease - dust 
infection 
immunosuppresed 
cystic fibrosis

Question 3

classification of chronic bronchitis ?

Answer 3

simple
chronic mucopurelnt
chronic bronchitis with obstruction

Question 4

clinical bronchitis ?

Answer 4

cough sputum 
dyspnea 
chest discomfort 
cysonis 
tachycardia

Question 5

clinically what do chronic bronchitis present themselves

Answer 5

blue bloaters
obese 
peripheral edema- pitting edema 
crackles and wheezing 
cyanosis

Question 6

what is the treatment of chronic bronchitis ?

Answer 6

airway obstruction treated medication -
ipratropium - anticholinergic
short acting b2 agonist added - salbutamol

improvemnet? if not
Theophylline

improvement but there is suboptimal outcome ?
corticosteroids

antibiotics - amoxicillin

Question 7

how to diagnose somebody with chronic bronchitis

Answer 7

spirometry

Question 8

complication of chronic bronchitis ?

Answer 8

metaplasia to mucus producing goblet cells - obstruction

perisists for years fibrosis- reduces lung function - for pulmonate

Question 9

what are the different types of chronic bronchsitis according to morphology ?

Answer 9

chronic catarhhal - gobelt and mucus gland hyperplasia

chronic intramural - lymphocytic and plasma cell infiltration in the bronchial wall with edematous consistency

chronic hypertrophic - hyperplastic polypoid infolding of the bronchial epithelium

chronic destructive - - elastc and muscle fibres destruction