Asthmatic Bronchitis Emedicine: Asthmatic Bronchitis Emedicine
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Only a small portion of acute bronchitis illnesses are caused by nonviral agents, with the most common organism being Mycoplasma pneumoniae. Study findings suggest that Chlamydia pneumoniae may be another nonviral cause of acute bronchitis. The obstructive symptoms of acute bronchitis, as established by spirometric studies, are extremely similar to those of moderate asthma. In one study. Forced expiratory volume in one second (FEV), mean forced expiratory flow during the middle of forced vital capacity (FEF) and peak flow values declined to less than 80 percent of the predicted values in nearly 60 percent of patients during episodes of acute bronchitis.
Recent Epidemiologic Findings of Serologic Evidence of C
Pneumoniae infection in adults with new-onset asthma indicate that untreated chlamydial infections may have a part in the transition from the acute inflammation of bronchitis to the chronic inflammatory changes of asthma. Patients with acute bronchitis usually have a viral respiratory infection with ephemeral inflammatory changes that create sputum and symptoms of airway obstruction. Evidence of reversible airway obstruction even when not infected Symptoms worse during the work week but tend to improve during vacations, holidays and weekends Chronic cough with sputum production on a daily basis for a minimum of three months Upper airway inflammation and no signs of bronchial wheezing Signs of infiltrate on the chest radiograph Evidence of increased interstitial or alveolar fluid on the chest radiograph Usually related to a precipitating event, such as smoke inhalation Evidence of reversible airway obstruction even when not infected Symptoms worse during the work week but tend to improve during weekends, holidays and vacations Persistent cough with sputum production on a daily basis for a minimum of three months Upper airway inflammation and no signs of bronchial wheezing Evidence of infiltrate on the chest radiograph Evidence of increased interstitial or alveolar fluid on the chest radiograph Typically related to a precipitating Occasion, including smoke inhalation Asthma and allergic bronchospastic disorders, including allergic aspergillosis or bronchospasm as a result of other environmental and occupational exposures, can mimic the productive cough of acute bronchitis.
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Chronic Obstructive Pulmonary Disease
chronic obstructive pulmonary disease (copd) chronic obstructive pulmonary disease icd 9 code chronic obstructive pulmonary disease definition chronic ...
Additionally, It May Cause Shortness of Breath, Wheezing, a Low Fever, and Chest Tightness
There are two primary types of bronchitis: acute and chronic. Most cases of acute bronchitis get better within several days. The same viruses that cause colds and the flu frequently cause acute bronchitis. Being exposed to tobacco smoke, air pollution, dusts, vapors, and fumes may also cause acute bronchitis. Less frequently, bacteria can also cause acute bronchitis.
Diagnosis and Treatment of Acute Bronchitis
Cough is the most common symptom for which patients present to their primary care physicians, and acute bronchitis is the most common diagnosis in these patients. Nonetheless, studies reveal that most patients with acute bronchitis are treated with therapies that are inappropriate or unsuccessful. Although some doctors cite patient expectations and time constraints for using these treatments, recent warnings from your U.S. Food and Drug Administration (FDA) about the risks of specific commonly used agents underscore the relevance of using only evidence-based, successful treatments for bronchitis. A survey revealed that 55 percent of patients believed that antibiotics were not ineffective for treating viral upper respiratory tract diseases, and that almost 25 percent of patients had self-treated an upper respiratory tract illness in the preceding year with antibiotics left over from earlier diseases.
Studies show that the duration of office visits for acute respiratory infection is unchanged or only one minute longer when antibiotics are not prescribed. The American College of Chest Physicians (ACCP) doesn't advocate routine antibiotics for patients with acute bronchitis, and proposes the reasoning for this be explained to patients because many expect a prescription. Clinical data support that antibiotics do not significantly change the course of acute bronchitis, and may provide only minimal gain compared with the risk of antibiotic use.
Two trials in the emergency department setting showed that treatment choices directed by procalcitonin levels helped reduce using antibiotics (83 versus 44 percent in one study, and 85 versus 99 percent in another study) with no difference in clinical outcomes. Another study demonstrated that office-based, point-of-care testing for C-reactive protein levels helps reduce improper prescriptions without compromising clinical outcomes or patient satisfaction. Physicians are challenged with providing symptom control as the viral syndrome progresses because antibiotics aren't recommended for routine treatment of bronchitis.
Damion is a leading content curator at palyamotorozas.com, a site about health tips. Last year, Damion worked as a manager for a well-known high tech web site. When he's not reading new content, Damion enjoys singing and shopping.