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
PREFERRED PRACTICE PATTERNS
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
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.
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.)
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
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
A. Right lung in medial view. B. Bronchial tree and lungs. C. Left lung in medial view. ...
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