Bronchitis Flashcards Preview

Clinical Medicine- Pulmonary > Bronchitis > Flashcards

Flashcards in Bronchitis Deck (16):
1

Common causes of viral bronchitis?

90% of cases viral. Influenza A & B, parainfluenza, RSV, coronavirus, adenovirus, rhinovirus

2

Common causes of bacterial bronchitis?

10% of cases. Bordetella pertussis, chlamydophila pneumonia, mycoplasma pneumonia

3

Commonly spread between family members?

Mycoplasma pneumonia

4

Causes a cough lasting longer than 4 weeks. Could have presence of inspiratory whooping heard?

Bordetella pertussis

5

Common causes of "common cold"

Rhinovirus and coronavirus

6

Frequently indicated in crowded conditions, military recruits

Adenovirus

7

Common symptoms/signs of bronchitis?

Appears as common cold, cough that last longer than 5 days, wheezes can be present, rhonchi can be present

8

What signs are uncommon in bronchitis?

Fever, systemic symptoms, toxic appearance, chills, sweating, myalgias, fatigue

9

When would you order imaging?

When pneumonia is suspected. RR >24, HR >100, Temp > 38 or 100.4

10

When would you order rapid PCR testing?

Pertussis and influenza suspected

11

Treatment for bronchitis caused by mycoplasma pneumoniae or chlamydophila pneumonia

Macrolide or fluoroquinolone
Azithromycin 500mg day 1, then 250mg day 2-5, doxycycline 100mg BID 7-14 days, or Levofloxacin 500mg QD 7-14 days

12

Treatment for bronchitis caused by bordetella pertussis?

Macrolides: Azithromycin 500mg day 1, then 250mg days 2-5, Clarithromycin 500mg x 7 days. Cant take macrolides: Bactrim DS 1 BID x 14 days

13

Common side affect of Clarithromycin?

Metallic taste

14

Upper airway cough syndrome causes?

Post nasal drip from respiratory infection, allergies, rhinitis, sinusitis. Cobblestone appearance in posterior throat

15

Typical asthma vs cough variant asthma?

Typical: wheezing, cough, dyspnea. Cough variant asthma: primary manifestation is asthma

16

Any patient that has hoarseness over three weeks needs what?

A scope to rule out severe gastroesophageal reflex or throat cancer