LRTIs - Bronchitis and Bronchiolitis

Question 1

What is bronchitis?

Answer 1

Inflammation of trachea and main airways

Question 2

What is bronchiolitis?

Answer 2

Inflammation of small airways of the lungs by viral infection

Question 3

What is the mechanism for bronchitis?

Answer 3

Disturbed mucociliary clearance. Minor airway malacia

Question 4

What organisms cause bronchitis?

Answer 4

Haemophilis, pneumococcus, Adenovirus, RSV

Question 5

What organisms cause bronchiolitis?

Answer 5

RSV, parainfluenza type III, HMPV

Question 6

What is the mechanism for bronchiolitis?

Answer 6

Bronchioles swollen
Lining of cells die
Tubes blocked with debri and pus

Question 7

Symptoms of bronchitis

Answer 7

Loose, rattily cough

Post-tussive vomit

Question 8

Symptoms of bronchiolitis

Answer 8

Nasal stuffiness
Tachypnoea
Poor feeding

Question 9

Signs of bronchiolitis

Answer 9

Crackles with/without wheeze

Question 10

Investigations for bronchiolitis

Answer 10

Nasopharyngeal aspirate

Oxygen sats

Question 11

Treatment for bronchitis and bronchiolitis

Answer 11

Observation
Reassure and wait
Possibly antibiotics for bronchiolitis if had for over a month to relieve symptoms but generally not