Acute bronchitis or pneumonia?
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- Опубликовано: 27 июл 2024
- Today, we're going to discuss acute bronchitis. Just like we did influenza last week, this is a very prevalent condition this time of year.
Specifically, we'll touch on ..
- The most common etiologies
- Atypical organisms
- Signs and symptoms
- Acute bronchitis vs pneumonia
- Workup
- When a chest x-ray might be needed
- Treatment
-
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Thank you Aakash for a review on Acute bronchitis. Pneumonia will also present with dyspnea, pleuritic chest pain, fever, rigors, malaise, and hemoptysis. The presence of rales on PE should prompt pneumonia or CHF. Procalcitonin is the emerging biomarker to differentiate between bacterial and viral infection.
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You can also get malaise with acute bronchitis.
@@Medgeeks My mother has blood pressure and diabetes and she always gets Pneumonia in December even though she always takes Prevnar 13 vaccine almost every year,do you think she should also take Influenza Vaccine? Can it be an Influenza infection? How do I differentiate?
Thank you. I have a remark though I’m not a doctor nor med student : Coughing is the natural way the body expels the virus through mucus so cough suppressants sound like a bad idea if the cough is wet. It might be better to treat wet cough by drinking fluids, mild heating chest, and take medication that liquifies the mucus so it helps spit it out when it’s hard to.
Perfect choice for this time of year. Always misdiagnosed, always confused. Thanks for this! Good refresher for us PAs a few years out of school.
Thank you for the refresher Aakash! Today was my first day of my pulmonology rotation and we saw over a handful of pneumonia patients; so this was a very relevant video and great review!
Great tips! It's always important to differentiate acute bronchitis and pneumonia in clinical practice.
Thanks for the review and differentiation. Very useful video
Thank you bro for your review it was quiet useful as we students always get confused. But with your review we got a clear concept. Thank you
Great timely review. Thanks!
Thanks for the summary, some good pearls here
Thank you! Great review!
Thank you for the review!
Very clear, simple words. Thanks!
Thank you Dr. For the great information
This was Great !!!!!!! Thank you for the help :)
Thank you very much ! I was sick for almost 2 weeks ( cough ) and finally saw my Doctor. Bronchitis
Thank you for the great info.
Well done I like that simplicity
Very Clearly Explained 🙏ThankYou
Thanks. Very helpful
Perfect video, Thank you
Thank you Dr Aakash this helped me so much. I had pneumonia and pluralsey in January then covid at Easter and I know have Bronchitis. When I was little I was in hospital a long time with 3 pneumonias at the same time. I had microplasma pneumonia, hymmopholis pneumonia and pn
Very amazing explanation thanks you for sharing useful video because of your vlog tutorial I got some knowledge from you about bronchitis
Very useful information
With all due respect, if this is a channel for medical students, I need to make the following commnets having supervised students. 1. By far the biggest differentiator is acute shortness of breath, not fever. 2. You will never accurately know if it's pertussis and most peoples "reason to suspect" usually revolves around a "prolonged bad cough". Antibiotics have very limited evidence in cough resolution, only limited evidence for prevention of spread of pertussis. Patients are also unlikely contagious after 3 weeks which is often close to when they present. 3. In a significant proportion of cases, acute bronchitis is caused by a virus that is not named in any medical textbook and I see this regularly when I PCR patinets with swabs (and no it's didnt end up been pneumonia) 4. 10 percent of acute bronchitis lasts 3 to 8 weeks. 5. I would definitely not give promethazine in the elderly as you'll likely cause more harm than good. (Great only if you want them drowsy, fall and break a hip later). 6. The chest is completely clear more often than not on auscultation, in the setting of acute bronchitis.
Thanks!
Should I be worried my doctor gave me antibiotics because he thought I had bronchitis???
thank you so much
Thank you. Been coughing 2 weeks, runny nose and feel ok. Everyone is making me feel like I need to go to the doctor bc they think I'm dying. I try to explain antibiotics won't do anything for viral infections.
Sheesh, you explaining my situation down to the tee.
Same. My family said “Im like a person from the olden days” because I “take nothing for my illness”.
Trying to explain to them again and again that doctors don’t give antibiotics for a viral chest infection, is like hitting my head against a wall.
Glad its not just me.
What about coughing fits? Does that happen in both asthma and pneumonia? Thanks for the clarity of info.
what's the big difference cause my voice in stuffy
Bronchitis can be and is mistaken and often diagnosed wrongly. I had a horrible cough and wheezing for 4 weeks, dr said I had bronchitis, saw another dr and was given antibiotics, my right lung was full of pneumonia.
What if you had high fever with obvious URI & chills but didn’t go to doctors so you take fever reducing meds. And the next day you don’t have a fever anymore?
Great video
If its jus clinical examination cough wheezing how can we differentiate from asthma!!
My dads autopsy say death from Acute Pneumonia and chronic bronchitis and its very confusing. His lungs were filled and covered with fibrinopurulent material and marked bilateral upper and lower lobe consolidation. Can you help me make sense of that?
Just got over the flu about 4 weeks ago and I've been suffering with shortness of breath and coughing since! It's aggravating and exhausting.. Hospital said I had inflammation in my bronchioles and said I had called "Post viral reactive airway syndrome" google just says bronchitis so I don't know. I was prescribed deltasone, my stomach is killing me, my chest hurts (sometimes my back too), my temp is around 98-99 so I'm sure that's fine, no asthma, diabetes or anything like that and I rarely vape a disposable. I hope this goes away! It's annoying.
Oh yeah, the symptoms are off and on too. One minute I'll be able to breathe then the next I feel awful and congested. I'll hear/feel a rattle in my chest at times.
I got Covid recently and it gave me bronchitis I believe, I hope it’s acute as I have to go to summer camp in a couple weeks and I don’t wanna be coughing.
My m did an extra in march this year the results days there is right basilar pneumonia and bronchitis the doctor gave her Augmenting is that good enough because she still coughing but not much .
What happens if I had viral symptoms, then goes to chest..going on 4th week. I started a low grade fever after starting medrol dose pack...and symbicort bid. After I started these, I came down with 99.2 fever. Chest tightness is better, but SOB. I'm wondering if I should stop medrol..is this bringing on infection?
No, you have asthma and acute bronchitis(viral). You shouldn't overdose medrol, yes it can cause infection.
I had a cold that turned into bronchitis. From the time I had the cold until now. It’s been 4 weeks. Bronchitis for the last week. No fever, feeling okay except for a productive cough, but it’s annoying and it’s been 4 weeks. Don’t want to take antibiotics if possible. Thoughts?
How r u now?
Dope!
Thank you. This was very helpful
My doctor just diagnosed me w bronchitis. I had Covid and it appears that it rolled into bronchitis( I am 65 and asthmatic).
Is this transmissible to others ?
Ty 🙏
Now how is ur bronchitis
@@Sandeep-ls7hd completely recovered TY
@@mickkali how you diagnosed in xray
I read somewhere viral bronchitis is very contagious. I’m 62 and have it for the first time. I had a bad bark and wheeze for a month. It seemed to ease up. I took a trip recently, and stayed with a couple who had verified Covid at Christmas. They recovered, but one of them got a cold while I stayed with them in mid January. I started to get a cold, but it went into my lungs. It consisted of nose blowing, hoarseness, and a very bad wheeze, crackle, and loose cough, and fatigue. It got worse, to the point I passed out on the flight home.
Went to the doctor as soon as I was home. X-rays showed my lungs to be “ a mess”. Given antibiotics andSymbicort 200 Turbuhaler. That was 4 days ago.
My breathing is better, and I’m not overly fatigued. Still have a loose cough.
I’m resting, coughing, and sleeping.
Bronkaid over the counter is a miracle for me. No cure but makes cough bearable and productive
Amazon ki wo dawa kitne dam hai vai sab ? Ap ko bronchitis yea Astma hai ?
This is the constant question in student health haha
I have feeling of phlegm in my chest, i cough out phlegm, this is happening for 5 months now
How r u now?
What about two years coughing
You might have chronic bronchitis
I have fever between 98-99°F and a little bit cough with chest congestion.
Sometimes I can cough out white mucus in very little extant.
Is it pneumonia or bronchitis?
Hello, i have the same symptoms(the chest congestion freaks me out). Can i ask if you recovered and what it was in your case? Bronchitis or pneumonia? Thanks
Mi I have chest pain ,pain in bones sametime the bones and cough even the white mucus aprears wen i cough normally at night and I feel alot of pain in ma lungs even the Spain paining bt iwent for Ct scan Broncho pneumonia Recommendation
What can I do course have tried everything bt the pain still there
@@kalisaharriet3677 how r u now?
Hello I just find out that I have Acute Bronchitis
"What's going on?" Coughing up goo.... you don't want to know.
I had a cough for 2 days and now its gone but when I exhale hard I can hear a gurgle .
Like, When I exhale hard I can feel a thick substance, was it the same for you?
@@shanthis6873 yes
@@Johnathann54 did you recover from it, if yes, was it pneumonia or bronchitis
@@shanthis6873 yes, it was bronchitis pneumonia usually comes with a fever
@@Johnathann54 bronchitis pneumonia? What is that, but I don't have a fever, I don't have fatigue, shortness of breath, chest pain. I only have cough and that thick substance when I exhale and when I inhale sometimes. should I go to the doctor
You knew about Corona before it hits the world.
Carona has a previous version.......this is Corona 2.0.....not the first version 🙄🙄
There are many corona viruses, you just didn’t know the word until C19
Coronavirus has been around for years but coronavirus 19 covid-19 was like two things merged into one. So everybody knew about coronavirus prior it started and was noticed in the 70s. But covid-19 is a more elevated crazy version of it
Shit what is it when you've had the cough for 4 weeks
He will not graduate as doctor ..
Thats A CUTE bronchitis💯👍
🙏🏼🧡
This guy says alot but doesn't explain enough each thing he says