Acute bronchitis auscultation

Super Angebote für Gylo Bronchitis hier im Preisvergleich. Gylo Bronchitis zum kleinen Preis hier bestellen Wellness-Produkte jetzt günstig bestellen. Kostenlose Lieferung möglic On physical examination, patients with acute bronchitis may be mildly ill-appearing, and fever is present in about one-third of patients. 4, 11 Lung auscultation may reveal wheezes, as well as.. Acute bronchitis is the result of acute inflammation of the bronchi secondary to various triggers, most commonly viral infection, allergens, pollutants, etc. Inflammation of the bronchial wall leads to mucosal thickening, epithelial-cell desquamation, and denudation of the basement membrane Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without Lung auscultation may reveal wheezes, as well as rhonchi that.

Bronchiolitis, Bronchitis, Asthma Exacerbation, Bronchopneum

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  1. Does your patient have Bronchitis? What does that sound like? Watch to find out, explained by SuperWe
  2. Acute bronchitis is usually caused by a viral infection. This is most often the same viruses that cause colds and the flu. It may also be caused by a bacterial infection, or by physical or chemical agents that are breathed in. These may include dusts, allergens, and strong fumes, including those from chemical cleaning compounds or tobacco smoke
  3. Acute bronchitis is inflammation of the tracheobronchial tree, commonly following an upper respiratory infection, that occurs in patients without chronic lung disorders. The cause is almost always a viral infection. The pathogen is rarely identified. The most common symptom is cough, with or without fever, and possibly sputum production
  4. Acute bronchitis is a common problem for primary care physicians, representing roughly the ninth most common health problem encountered in an ambulatory setting.1, 2 In a recent survey, more than 90% of those obstetricians and gynecologists surveyed independently manage acute upper respiratory tract infections (URIs), and nearly 70% manage.
  5. Rhonchi sounds can be a sign of bronchitis or COPD. Whooping. This high-pitched gasp typically follows a long bout of coughing. Auscultation of the respiratory system..

Compare and contrast breath sound in chronic bronchitis and emphysema. The answer. Decreased breath sounds when the patient is making a phenomenal effort to breathe (with hyper-resonance) is the most important physical finding for emphysema; Breath sounds are harsh in pure chronic bronchitis See the written guide alongside the video here https://geekymedics.com/respiratory-examination-2/This video provides demonstrations of the various lung sound..

Bronchitis Inhalationslösung - bei Amazon

  1. An acute inflammation of the bronchial mucosa, most commonly of viral origin. In older children it can be caused by Mycoplasma pneumoniae. In children over 2 years of age with repetitive acute bronchitis or 'wheezing' bronchitis, consider asthma (see Asthma). In children under 2 years of age, consider bronchiolitis (see Bronchiolitis)
  2. Acute bronchitis is usually caused by a virus, such as a cold or the flu, and occasionally by bacterial infection. You are more vulnerable to developing bronchitis if: You have close contact with someone who has a cold or acute bronchitis You have not been immunized against the fl
  3. Precautions. Cough Suppression risks worsening bronchospasm (esp. Asthma and COPD); Avoid Albuterol Syrup (Not helpful and potentially harmful). Littenberg 1996 J Fam Pract 42:49-53) [PubMed] Although found beneficial in some trials, high dose Inhaled Corticosteroids are not used in standard Acute Bronchitis. McKean (2000) Cochrane Database Syst Rev CD001107 [PubMed
  4. Bronchitis is the inflammation of the bronchial tubes, which carry air from the trachea, or windpipe, into and through the lungs. Acute bronchitis has distinct forms that vary, depending on the.
  5. Most cases of acute bronchitis are caused by viruses. Typical culprits are respiratory viruses that affect the epithelial cells of the bronchial mucosa and proliferate there
Acute bronchitis - Acute bronchitis en COPD: wat is het

Acute Bronchitis - American Family Physicia

Acute Bronchitis - StatPearls - NCBI Bookshel

Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People who have bronchitis often cough up thickened mucus, which can be discolored. Bronchitis may be either acute or chronic. Often developing from a cold or other respiratory infection, acute bronchitis is very common Bronchitis: Inflammation of the bronchi with partial obstruction of the bronchi by secretions or constriction. Bronchitis may be acute or chronic with a productive cough. Chronic bronchitis is associated with cigarette smoking Air pollution increases the number of cases of bronchitis. Acute bronchitis is a self-limiting disease in healthy adults and resolves within 7-10 days. Predisposing factors for the development of acute bronchitis in children include poor nutrition, allergy, deficiencies in IgG2, IgG3, and IgG4 subclasses, and rickets Viruses, such as the cold or flu, or lung irritants usually cause acute bronchitis. Chronic bronchitis occurs when bronchitis doesn't go away. Smoking is the main cause of chronic bronchitis The cardinal symptom was the acute onset of cough (100%), usually productive (90%). Wheezing was noted by 62% of patients, but heard on auscultation in only 31%

Acute bronchitis may be indistinguishable from an upper respiratory tract infection during the first few days, though cough lasting greater than 5 days may suggest acute bronchitis. In patients with acute bronchitis, cough generally lasts from 10-20 days. Sputum production is reported in approximately half the patients in whom cough occurred - New or worsening crackles on auscultation of lung fields is indicated in the treatment of acute exacerbations of chronic bronchitis in patients with underlying chronic obstructive pulmonary. Acute obstructive bronchitis is an inflammation of the bronchial tree, accompanied by a syndrome of bronchial obstruction, mainly of small and medium caliber. The main symptom of acute obstructive bronchitis is expiratory shortness of breath , which occurs against the background of coughing, asthma attacks, fever, wheezing or wet wheezing. In addition to the data of the clinical picture. They were classified as having acute bronchitis if, according to international guidelines, coughing was more frequent than normal for at least 2 weeks, but no more than 4 weeks. Furthermore, either expectoration of purulent sputum for a maximum of 2 weeks and/or rhonchi as assessed by auscultation had to be present 4. Acute Bronchitis can be characterized by all of the following EXCEPT: A. Fever and malaise B. Crackles on auscultation with white infiltrates shown on x-ray C. Episodes of generalized chest pain after coughing fits D. Dry cough that is worsened by breathing in cold, dry air . 5

  1. ation and Diagnostic Studies The physical exa
  2. Diagnosis of Acute bronchitis. Auscultation during the physical exam will reveal wheezing, rhonchi, and prolonged expiration. These findings along with the presence of wet or dry cough may lead to suspicion of acute bronchitis. Chest XRAY may be performed if patients present with fever
  3. Acute bronchitis is typically associated with a cough that is worse at night or with exercise; lasts >2 weeks in half of patients and 4 weeks in a quarter of patients; may be associated with bronchospasm and/or excessive mucus production. Diagnosis is primarily clinical. Other causes for acute co..


  1. The timbre of wheezing, heard during auscultation, depends on the level of lesion of the bronchi: the smaller bronchi are involved in the process, the higher the timbre of wheezing. When accumulating in the bronchi of the liquid secretion, wet rales occur, unlike rales in acute pneumonia, they are devoid of sonority, constant localization and.
  2. imal cough, or as a nocturnal cough only. While most patients with acute bronchitis will have a productive cough, patients in later phases of the illness may have a nonproductive cough
  3. Acute bronchitis may come after a common cold or other viral infections in the upper respiratory tract. It may also occur in people with chronic sinusitis, allergies, or those with enlarged tonsils and adenoids. It can be serious in people with lung or heart diseases. Pneumonia is a complication that can follow bronchitis
  4. Wheezing is accompanied by a fever of 101° or above; you may have a respiratory infection such as acute bronchitis, sinusitis, or pneumonia. Your cough worsens, and you produce more, thicker or yellow, green, or blood-tinged mucus; you may need antibiotics for bronchitis or pneumonia
  5. ation because respiratory sounds provide vital information regarding the physiology and pathology of lungs and airways obstruction. 1 The ability to distinguish normal breath sounds from various abnormal adventitious sounds is essential to make an accurate medical diagnosis. 1 Breath.
  6. LOWER RESPIRATORY TRACT-Acute Bronchitis - Acute bronchitis is inflammation of one or more bronchi and occurs specifically in children younger than four year?. It is associated with previous upper respiratory infection. Infection is caused by adenovirus, rhinovirus and repiratory syncytial virus
  7. Overview. The respiratory airways discussed in this section of the handout include the airways from the epiglottis to the bronchioles. The infections discussed are croup (which includes acute laryngitis, laryngotracheobronchitis, and epiglottitis), acute bronchitis, bronchiolitis, influenza, and pertussis (Figure AI-1)

Acute Bronchitis Johns Hopkins Medicin

Auscultation Acute bronchitis diagnosis is based on medical history and physical examination. For chronic bronchitis, chest X-rays may be performed to check the extent of the lung damage, as well. o Focal abnormality on auscultation o Age >75 o RR >24 or Temperature >100.5 o F or <38o C Procalcitonin if patient in UCC/ED and antibiotics are being considered (patients >18 yo) -see ANMC Procalcitonin guideline for interpretation Antibiotics are not beneficial for uncomplicated acute bronchitis

Acute Bronchitis - Pulmonary Disorders - Merck Manuals

Bronchitis is an inflammation of your bronchial tubes. It can be either acute or chronic. It is a very common condition which develops following cold or other respiratory infections. Acute bronchitis improves in quick time, often within 7-10 days although the cough may persist longer. It is also called as chest cold Acute bronchitis is an inflammation of the tracheobronchial tree, usually in association with a generalized respiratory infection affecting 40/1000 adults each year in the United Kingdom. 1 It is the fifth most common diagnosis in patients presenting with cough. 2 It occurs most commonly during the winter months and is associated with respiratory viruses, including rhinovirus, coronavirus. Synonyms.—Tracheo-Bronchitis; Cold on the Chest.. Definition.—An inflammation of the mucous membrane of the bronchial tubes, varying greatly in intensity; hence it has received different classification.Thus, in the milder forms, it is termed subacute or cold on the chest; in the more severe types, acute or sthenic bronchitis, while in elderly people and those of feeble vitality it is. Acute bronchitis. COPD exacerbation BMI of 21.13 kg/m2, and oxygen arterial saturation 98% on room air. Lungs' auscultation is positive for left sided decrease in breath sounds, is positive for right-sided expiratory wheezing, is positive for fine bibasilar inspiratory rales, and is positive for left-sided, rhonchi

Acute bronchitis is ussually caused by a viral infection and may begin after a cold. It begins with a dry cough. After a few days it progresses to a productive cough. The cough may last up to several weeks. Chronic bronchitis is caused by exposure to tobacco smoke or other irritants. Inflammation and extra mucus cause severe coughing Acute Bronchitis Explained. First, it is important to understand exactly what bronchitis is. In dogs, the bronchioles are tubes that act as airways into the lungs. When these become inflamed and irritated due to infection or irritation, the condition is known as bronchitis. On auscultation of the chest, listening to the breath sounds with a. Purulent acute bronchitis should be the consideration; We have to explain pleuritic pain on the basis of cough fractures of ribs or muscle bruising. 13. Explain the significance, if any, of the results of spirometry. The most important evidence is that FEV 1 /FVC is decreased (normal >75%) and is severe (<40% Acute bronchitis is a common illness but the exact incidence is not known. It is associated with occurrence primarily in fall and winter months. Acute bronchitis is an acute respiratory infection with cough as the prominent symptom. The symptoms typically last one to two weeks with or without phlegm production

Nursing Mnemonics & Tricks (Assessment and Nursing Skills

Acute bronchitis: a review of diagnosis and evidence-based

Lung Sounds: Wheezing, Crackling, Stridor, and Mor

Notes Description Is an infection of the lower respiratory tract that generally follows an upper respiratory tract infection. As a result of this viral (most common) or bacterial infection, the airways become inflamed and irritated, and mucus production increases. Causes Acute bronchitis is usually caused by viruses. Established risk factors include a history of smoking, [ Exam Mode. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. MSN Exam for Bronchitis Acute & Chronic (EM) Choose the letter of the correct answer. You got 20 minutes to finish the exam .Good luck Crackles can be heard in patients with pneumonia, atelectasis, pulmonary fibrosis, acute bronchitis, bronchiectasis, acute respiratory distress syndrome (ARDS), interstitial lung disease or post thoracotomy or metastasis ablation. Pulmonary edema secondary to left-sided congestive heart failure can also cause crackles

Acute bronchitis is an inflammation of the large airways of the lung. It is a common clinical presentation to emergency departments, urgent care centers, and primary care offices. About 5% of adults have an episode of acute bronchitis each year. An estimated 90% of these seek medical advice for the same. In the United States, acute bronchitis. Acute obstructive bronchitis. Syndrome of bronchial obstruction is characterized by shortness of breath (CRP to 60-70 per minute), increased persistent dry cough, the appearance of dry wheezing in the background of prolonged exhalation, not only during auscultation, but also audible at a distance Real-Life Challenge: Acute Bronchitis on Page 491 A 39-year-old woman is experiencing a deep cough that produces thick, yellow sputum. She is complaining of shortness of breath and pain in the upper chest. Audible wheezing is heard without a stethoscope. Vital signs are temperature, 100.28° F; pulse, 102; respirations, 32; and blood pressure, 134/88. . Auscultation of the chest confirms the. Acute Bronchitis Bronchitis having short clinical course with cough, expectoration and fever often caused by the upper respiratory viral infection to the bronchi 46. Chronic Bronchitis Chronic or recurrent excess mucus secreation in to the bronchial tree without a demonstrable cause either local or general occurring on most of the days at least.

Chronic Bronchitis: - Loyola University Chicag

  1. Causes of acute bronchitis. Acute bronchitis can be caused viral and bacterial organisms. Out of all, the most common viruses responsible for acute bronchitis include influenza A and B, Respiratory syncytial virus and parainfluenza virus, rhinovirus and adenovirus. Bacterial causes of acute bronchitis include mycoplasma, streptococcus pneumoniae, chlamydia pneumoniae, Haemophilus influenza and.
  2. acute inflammatory injury usually characterized by a diffuse destruction of the bronchioles; has multiple causes (PNA, toxic gas, collagen disorders, chronic bronchitis) Signs/Sx - insidious onset, progressive dyspnea with exertion, persistent cough, wheezes and crackles on auscultation
  3. Acute bronchitis can be described as a self limited inflammation of large airways of the lung that happens in a patient without chronic lung disease. How common - LRTIS -leading infectious cause of death worldwide among children and adults Not well defined ,but from an epidemiological point of view the term LRTI includes pneumonia ( infection.
  4. For instance, acute fever due respiratory tract infection may have malaise, cough or wheezing sound in the lungs in auscultation. While most of the acute fever are controllable, high-grade fever due to sepsis (septicemia) is a life-threatening condition that requires immediate treatment with hospitalization
  5. Defined as a chronic cough that is productive of phlegm occurring on most days for 3 months of the year for 2 or more consecutive years without an otherwise-defined acute cause. Chronic Bronchitis = Blue Bloaters (2º to chronic hypoxia) Common in Smokers (80% of COPD patients); Frequent cough and expectoration are typical (compared to emphysema); Stocky, overweight
  6. But the key feature of acute bronchitis is a cough that lasts for more than 5 days. On auscultation scattered rhonchi might be heard. Testing for pertussis is recommended in children whose cough has a whooping sound, or has lasted longer than three weeks; as well as unvaccinated children and those who have had recent exposure to someone.

Lung sounds (respiratory auscultation sounds) - YouTub

This CKS topic on chest infection covers the diagnosis and management of acute bronchitis and community-acquired pneumonia. Acute bronchitis is defined as a lower respiratory tract infection which causes inflammation in the bronchial airways. Smoking cessation should be encouraged if relevant, and adequate analgesia and fluid intake advised Bronchitis occurs when there is an inflammation of the bronchial tubes. It may be caused by a number of factors, including a bacterial or viral infection. It is also caused by irritation originating from pollution and smoke. Bronchitis may be chronic or acute in nature. Chronic bronchitis occurs over a period of time The course of obstructive bronchitis in children is accompanied by an unproductive cough, noisy wheezing with forced expiration, tachypnea, and distant wheezing. When diagnosing obstructive bronchitis in children, data from auscultation, chest x-ray, spirometry, bronchoscopy, blood tests (general analysis, blood gases) are taken into account

Contrary, most patients had a C-reactive protein (CRP) test performed (pneumonia: 83%; acute bronchitis: 71%). Respectively, 93% and 20% of patients were treated with antibiotics. Having a fever, an abnormal pulmonary auscultation/chest retractions or being assessed as unwell increased the likelihood of the diagnosis pneumonia at least fivefold B. Acute bronchitis C. Chronic bronchitis D. Acute lobar pneumonia (consolidation stage) E. Acute lobar pneumonia (initial stage) 7. Pleural friction sound is heard in patients with: A. Dry pleurisy B. Acute bronchitis C. Acute lobar pneumonia (initial stage) D. Bronchial asthma E. Pulmonary emphysema In the right subscapular and axillary area. acute bronchitis (16) and not uncommonly in cases of chronic T able 1 Classification of the most common adventitious lung sounds as recommended by the International Lung Sound Association in 1976 (2 Symptoms of acute bronchitis include: sputum production, dyspnea, wheezing, chest pain, fever, hoarseness, malaise, rhonchi, and rales. Each of these may be present in varying degrees or may be absent altogether. Sputum may be clear, white, yellow, green, or even tinged with blood

Acute bronchitis - Clinical guideline

Acute bronchitis is a common problem for primary care physicians, representing roughly the ninth most common health problem encountered in an ambulatory setting. 1, 2 In a recent survey, more than 90% of those obstetricians and gynecologists surveyed independently manage acute upper respiratory tract infections (URIs), and nearly 70% manage. After auscultation, the doctor can hold a bronchophony. The essence of the method is to evaluate not the breath, but the nature of the sounds made during it. The doctor asks the patient to whisper words containing the letters h and p. A healthy person has very quiet sounds. Their patency in acute bronchitis is significantly impaired Acute bronchitis presents in the healthy adult primarily as a cough of 1-3 weeks duration. Myalgias and low-grade fevers may be seen. This is distinct from an acute exacerbation of COPD (see Chapter 33-8: Chronic Obstructive Pulmonary Disease (COPD) ) - On pulmonary auscultation: bronchial wheeze (always exclude tuberculosis). A patient with an acute exacerbation of chronic bronchitis presents with: - Onset or increase of dyspnoea. - Increased volume of sputum. - Purulent sputum. Treatment - Antibiotic treatment is not useful in treating simple chronic bronchitis

Learn About Bronchitis (Acute) American Lung Associatio

Diffuse rhonchi and crackles heard on auscultation. Wheezing, if patient with asthma If bronchitis with pneumonia, symptoms likely to have a high fever and chills, feel sicker, or feel short of breath. Even after acute bronchitis has cleared, a dry cough present up to 1 to 4 weeks. Diagnostic Evaluatio Bronchitis is when your bronchial tubes, which carry air to your lungs, get infected and swollen. There are two kinds: Acute bronchitis. This lasts a few weeks and usually goes away on its own.

Acute Bronchitis. List of authors. Richard P. Wenzel, M.D., and Alpha A. Fowler, III, M.D. November 16, 2006. N Engl J Med 2006; 355:2125-2130. DOI: 10.1056/NEJMcp061493. A 40-year-old man with no. Pulmonary examination in can be barrel chest (emphysema), wheezing, hyperresonance, crackles and rhonchi. A physical examination may reveal signs of pink puffers. Patients may lean forward with arms extended and/or resting on something to help them breathe (orthopenic breathing). When lung auscultation and chest percussion is performed a. Prevention. Bronchiolitis is inflammation of the tiniest airways of the lungs—the bronchioles. It typically affects infants and children under 2 and is almost always caused by a respiratory virus. Bronchiolitis can usually be diagnosed based on the symptoms, which include cough, wheezing, and mild fever Acute bronchitis, likewise known as a chest cold, is the inflammation of the bronchi of the lungs, which leads to swollen and inflamed airways and cause cough with mucus production. Physical examination (percussion and auscultation) Sputum sample (to check for color of sputum, presence of white blood cells) Nasal swab to rule out flu; Chest.

Bronchiolitis is an acute viral infection of the lower respiratory tract affecting infants < 24 months and is characterized by respiratory distress, wheezing, and/or crackles. Diagnosis is suspected by history, including presentation during a known epidemic; the primary cause, respiratory syncytial virus, can be identified with a rapid assay The similarities and differences between asthma vs bronchitis are described below. Bronchitis can be acute or chronic. Acute bronchitis lasts for about three weeks. 1 Chronic bronchitis lasts for three months or more within a two-year period. 2 Chronic bronchitis is a form of COPD (chronic obstructive pulmonary disease) Treating acute bronchitis. Cough bronchitis treatments include antibiotics, a medication which serves to dissolve and thus help the patient remove the secretions from their bronchi and vitamins. At times, broncho-dilators may be used if the patient is suffering from moderate respiratory distress On auscultation, he had sig-nificant expiratory wheezing bilaterally and decreased air entry to the right upper lobe. Chest PA and lateral X-rays were taken (Figs. 1 Acute bronchiolitis is a common pediatric condition, affecting approximately 15% of infants in the first year of life. It is diagnosed clinically and present

Definition. Lung sounds, also called breath sounds, can be auscultated across the anterior and posterior chest walls with a stethoscope. Adventitious lung sounds are referenced as crackles (rales), wheezes (rhonchi), stridor and pleural rubs as well as voiced sounds that include egophony, bronchophony and whispered pectoriloquy Pulmonary examination. View Media Gallery. Percussion produces sounds on a spectrum from flat to dull depending on the density of the underlying tissue. Areas of well-aerated lung will be resonant, or tympanic, to percussion. Dullness to percussion indicates denser tissue, such as zones of effusion or consolidation

Acute bronchitis is the fifth most common diagnosis for patients presenting with a primary symptom of cough lasting from 1 to 3 weeks. 1,2 The disease is characterized by inflammation of the large airways within the lung accompanied by a cough without the presence of pneumonia as confirmed by the absence of an infiltrate on chest radiograph. 3 The cough may last for up to 3 weeks in about 50%. Acute Bronchitis & Rales & Tachypnea Symptom Checker: Possible causes include Pneumonia. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search wheezing on auscultation; often fever; difficulty breathing following exertion; Chronic bronchitis can also lead to changes in weight. Clinically speaking, the trouble with bronchitis is that many of its symptoms overlap with other acute respiratory infections or conditions such as pneumonia or asthma An acute exacerbation of chronic obstructive pulmonary disease or acute exacerbations of chronic bronchitis (AECB), is a sudden worsening of chronic obstructive pulmonary disease (COPD) symptoms including shortness of breath, quantity and color of phlegm that typically lasts for several days.. It may be triggered by an infection with bacteria or viruses or by environmental pollutants Pneumonia is often diagnosed and treated empirically. We set out to determine the diagnostic accuracy of clinical judgment based on signs and symptoms to detect radiographic pneumonia in patients presenting with acute cough in primary care. In 2810 European patients with acute cough, general practitioners (GPs) recorded whether they considered pneumonia to be present (yes or no.

On average, the symptoms of acute bronchitis last only a couple of weeks. However, if you have a cough that won't go away, or if you get sick with bronchitis frequently, it may be the sign of a more serious disease and you should visit your doctor. Here are some questions to ask your doctor about bronchitis bronchiolitis and bronchitis 1. BRONCHITIS & BRONCHIOLITIS QPT20303 Dr. Mohanad 2. Definition Acute bronchitis is acute infection of the bronchial mucosa, without obstruction ETIOLOGY: • Viral infection: 90% of cases • Respiratory Syncytial viruses - parainfluenza, adenoviruses, • Bacteria Rarely; pneumococci, H.influenzae, staphylococi and streptococci dyspnea, pleuritic pain, abnormal auscultation findings, dullness to percussion, muscle and joint pain and confusion (FPN, 2016b). The pathogens for both illnesses have many possible reasons for infections. Acute bronchitis, according to FPN (2016a) can arise from a virus, bacteria, fungus or yeast, or the environment

Abnormal Chest/Lung Pics at University of South AlabamaBronchiolitis | McMaster Pathophysiology ReviewAbnormal Breath Sounds - Net Health Book

Video: Acute Bronchitis - FPnotebook

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As acute bronchitis can be caused by the influenza strains, it is likely that a prolonged flu develops into acute bronchitis or other serious respiratory tract infection. As the strains are contagious in nature, flu that develops acute bronchitis has a potential to spread onto people who are in close contact, eliciting its contagious nature Purpose . This study investigated an inhalation solution containing ectoine, a bacterial-derived extremolyte, for the treatment of acute bronchitis and acute respiratory infections in comparison with saline inhalation solution. Methods . This prospective, controlled, observational study comprised an inclusion visit (day 1), a final visit (day 7), and a follow-up questionnaire (day 17) A 45-year-old woman presents to the ED with acute bronchitis. She requests medicine for severe cough. You wonder if there is sufficient evidence to support the use of inhaled beta-2-agonists for the treatment of cough in patients with acute bronchitis. Search Strategy Medline 1950-10/08 using the OVID interface, Cochrane Library (2008), PubMe Acute bronchitis is a common childhood illness. Although 95% of the cases are caused by viruses, about one-third of patients are prescribed antibiotics. Studies have shown that antibiotic therapy is mostly ineffective in acute bronchitis, unless the pathogen is of bacterial origin and known by lab test Acute exacerbation of COPD was defined as the presence of any one of the following three symptoms: (1) increased cough and sputum volume, (2) increased sputum purulence, or (3) increased dyspnea. In addition, patients may have had one or more symptoms of fever, malaise, fatigue, and chest congestion. Severity of an acute exacerbation of COPD.