Please enable JavaScript.
Coggle requires JavaScript to display documents.
Acute bronchitis (Clinical
presentation (Cough
(may be productive/not),…
Acute bronchitis
-
Diagnosis
Examination
Respiratory
Tachypnoea, tachycardia,
may have wheeze, NO crepitations
Investigations
-
-
Bedside
Obs (may have fever, inc RR, reduced sats)
Bloods
FBC (infection), CRP (infection), U+Es,
blood cultures (if ?sepsis)
History
-
SH
Occupation, smoking, alcohol, pets, travel
DH
Current meds, inhalers, allergies (abx)
PMH
Recurrent bronchitis, other resp conditions
e.g. asthma, COPD, bronchiectasis
PC/HPC
Cough (+/- sputum), wheeze, SOB,
fever, malaise, red flags
-
Pathophysiology
Agent
Commonly viral, may be bacterial
Mechanism
Infection and inflammation of trachea and bronchi
Causes oedema and mucus production
Leads to cough and phlegm production
Lasts ~3weeks
Management
Medical
Analgesia
Indication: pain, fever
E.g. paracetamol, ibuprofen
Abx
Indication: systemically unwell,
high risk of complications, CRP >100
E.g. amoxicillin 500mg TDS 5d,
doxycycline 200mg d1 then 100mg OD total 5d
MOA: immediate if acute unwell, delayed if not
SEs: N+V, hypersensitivity, rash
Conservative
Information, advice, support
Lifestyle (smoking cessation)
Self care (rest, fluids)
Definition
Transient inflammation
of trachea and major bronchi,
with productive cough
-
Prognosis
Usually mild and self-limiting,
lasting 7-10 days