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.
@@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.
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.
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!
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.
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.
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.
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
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.
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.
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?
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?
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 .
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 🙏
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.
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
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?
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?
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
@@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
