Bronchitis differential diagnosis

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Bronchitis Main page

Patient Information

Overview

Causes

Classification

Acute bronchitis
Chronic bronchitis

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.

Overview

Bronchitis must be differentiated from other diseases that cause cough such as asthma, pneumonia, bronchiectasis and CHF.

Differential Diagnosis

The Bronchitis must be differentiated from other diseases that may cause cough, dyspnea and wheezing[1].

Disease Findings
Pneumonia Presents with acute fever, cough and shortness of breath, although pulmonary infiltrate on chest x-ray is an imaging finding.[2]
Asthma Presents with cough, dyspnea and wheezing and typically is a chronic condition which typically starts during childhood.[3]
Bronchiectasis Presents copious purulent sputum, coarse crackles, clubbing and CT findings suggestive of bronchiectasis.[3]
Gastroesophageal Reflux Disease May present with chronic dry cough but the typical symptom is heart burn.[4][5]
Congestive heart failure Features with orthopnea, paroxysmal nocturnal dyspnea, fine crackles on auscultation and chest x-ray findings of cardiac enlargement and pulmonary congestion (Kerley B lines, and pleural effusion).

References

  1. Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  2. Prina E, Ranzani OT, Torres A (2015). "Community-acquired pneumonia". Lancet. 386 (9998): 1097–108. doi:10.1016/S0140-6736(15)60733-4. PMID 26277247.
  3. 3.0 3.1 Busse WW (2011). "Asthma diagnosis and treatment: filling in the information gaps". J. Allergy Clin. Immunol. 128 (4): 740–50. doi:10.1016/j.jaci.2011.08.014. PMID 21875745.
  4. Singh A (2009). "Asthma in older adults". CMAJ. 181 (12): 929. doi:10.1503/cmaj.109-2049. PMC 2789137. PMID 19969583.
  5. Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, Brown KK, Canning BJ, Chang AB, Dicpinigaitis PV, Eccles R, Glomb WB, Goldstein LB, Graham LM, Hargreave FE, Kvale PA, Lewis SZ, McCool FD, McCrory DC, Prakash UB, Pratter MR, Rosen MJ, Schulman E, Shannon JJ, Smith Hammond C, Tarlo SM (2006). "Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines". Chest. 129 (1 Suppl): 1S–23S. doi:10.1378/chest.129.1_suppl.1S. PMC 3345522. PMID 16428686.

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