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CONDITION/DISORDER SYNONYMS

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  • Acute bronchitis

  • Inflammation-bronchi

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ICD-9-CM CODES

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  • 466 Acute bronchitis and bronchiolitis

  • 490 Bronchitis not specified as acute or chronic

  • 491 Chronic bronchitis

  • Associated physical therapy diagnosis

    • 780.7 Malaise and fatigue

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath

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ICD-10-CM CODES

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  • J20.9 Acute bronchitis, unspecified

  • J41.0 Simple chronic bronchitis

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PREFERRED PRACTICE PATTERNS

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  • 6C: Impaired Ventilation, Respiration/Gas Exchange, and Aerobic Capacity/Endurance Associated With Airway Clearance Dysfunction1

  • 6F: Impaired Ventilation and Respiration/Gas Exchange Associated With Respiratory Failure2

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PATIENT PRESENTATION

A 39-year-old female arrives to the clinic with a diagnosis of back pain. She reports difficulty performing her job duties as a waitress in a casino due to symptoms of pain and tiredness. She has been a second-hand smoker for the past 3 years due to her job setting. Patient revealed that she had a mild fever 3 days ago which went away after taking acetaminophen—which she continues to take due to frequent headaches. She also reports onset of a cold approximately 1 week ago with current symptoms of sore throat, productive cough, and chest pain after coughing. She reports presence of sputum when coughing which turned from clear to yellowish in the last 2 days. Upon examination patient presents with normal vital signs with an O2 saturation of 94% at rest, normal ROM of all extremities and lumbar spine, and normal strength of all extremities. Functional mobility was normal with increased time required mainly due to fatigue. Her breathing sounds were abnormal with wheezing present after coughing. Blood tests, chest x-ray, and sputum culture were normal.

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FIGURE 71-1

Chronic bronchitis, showing marked hyperplasia of the bronchial mucous glands. In this case, the glands occupy almost the entire area between the surface epithelium and cartilage, giving a Reid index of almost 1. (From Chandrasoma P, Taylor CR. Concise Pathology. 3rd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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KEY FEATURES

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Description
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  • Inflammation of the air passageways in the lungs

  • Categorized as chronic obstructive pulmonary disease (COPD)

  • Acute or chronic

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Essentials of Diagnosis
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  • Can be acute or chronic

  • Diagnosis based on clinical manifestation

  • Acute bronchitis usually after a common cold (viral respiratory infection)

  • May get secondary bacterial infection

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General Considerations
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  • Influenza is a systemic illness involving the respiratory tract

  • Antibiotics have limited or no role in the treatment of a virus

  • Can develop into pneumonia

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Demographics
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  • Infants and young children

  • Elderly with weak immune system

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FIGURE 71-2

A. Right lung in medial view. B. Bronchial tree and lungs. C. Left lung in medial view. ...

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