Bronchitis

Question 1

epidemiology of Bronchitis

Answer 1

M>F
5O yrs chronic
82% in autumn/winter

Question 2

aetiology of bronchitis

Answer 2

inflammation of tracheobroncial tree (lower respiratory)
occurs with frequency high in chronic lung path.
85% viral
5% bacteria

Question 3

pathophysiology of bronchitis

Answer 3

acute immune mediated inflammation of the bronchial wall,
increased mucus production along with edema of the bronchus.
productive cough
bronchial obstruction similar to that in asthma.

Question 4

natural history

Answer 4

infection may clear in several days, repair of the bronchial wall may take several weeks.
During the period of repair, patients will continue to cough.

postbronchitis syndrome
Half of all patients with acute bronchitis continue to cough for >2 weeks. [2] In a quarter of patients, cough may last for >1 month. . due to reflects ongoing repair to the bronchial walls after the clearance of the acute infection.

Question 5

manefestations

Answer 5

diffuse wheeze,
accessory muscle
high pitched continuous sounds
diffuse decrease in air intake
respiratory stridor
sustanined heave along left sternal border

Question 6

signs

Answer 6

finger clubbing
peripheral cyanosis
bullous myringitis (a form of viral otitis media in which serous or hemorrhagic blebs appear on the tympanic membrane and adjacent wall of the acoustic meatus.)
conjunctivitis
adenopathy
rhinorrhea - blocked/running nose

Question 7

symtoms

Answer 7

cough
sputum/pus/clear/blood
general malaise
chest pain
dyspnoea
cyanosis
sore throat
runny/stuffed nose
headace
muscle pain
fatique

Question 8

complications

Answer 8

spread of infection
pneumonia
chronic bronchitis
restrictive airway disease
hemoptysis

Question 9

prognosis

Answer 9

selflimiting,

deterioration if with underlying Cardio pulmonary disease or other comorbidity