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Literature review on bronchiolitis
Literature review on bronchiolitis
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Bronchitis is an
INFLAMMATION of the membrane that lines the air passages, or, bronchial tubes, of the
LUNGS and results in the narrowing of these air passages. This disorder may be of either an acute or chronic type. Irritation of mucus-producing glands within the membrane results in the production of excess bronchial secretions. The main symptoms of bronchitis are cough and increased expectoration of sputum, with or without associated wheezing and shortness of breath.
Acute bronchitis is usually caused by infection by one of the many viruses that cause the common
COLD or INFLUENZA and is frequently associated with MEASLES. The patient may suffer from additional symptoms, such as chest discomfort, fever, and aching, that are characteristic of these diseases. WHOOPING
COUGH is a form of severe bronchitis caused by the bacterium Hemophilus pertussis. Treatment of a pure viral infection is directed toward the relief of symptoms, but frequently secondary infections by bacteria complicate the condition. In such a case the patient's sputum may turn from white to yellow (purulent, or pus containing), and treatment with various antibiotics is recommended. Acute chemical bronchitis may be caused by the inhalation of irritating fumes, such as smoke, chlorine, ammonia, and ozone. Chronic bronchitis results from prolonged irritation of the bronchial membrane, causing cough and the excessive secretion of mucus for extended periods. By far the most common cause of chronic bronchitis is cigarette SMOKING, but air pollution and industrial fume and dust inhalation are also important irritants. Patients with chronic bronchitis are subject to recurrent infections with H. influenzae and pneumococci. Pulmonary
EMPHYSEMA often coexists, and over a long period of time the patient may suffer from
The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
Pertussis: Pertussis also known as whopping cough is a highly contagious bacterial disease that causes an uncontrollable, severe coughing. It is a serious disease that can affect individual of all ages with severe complication resulting in permanent disability in infants and lastly death. The fact that this 7-months old baby stay up night, inability to sleep can make it hard to breathe. Burns, Cotter, Harvill, Hewlett, Merkel, Stibitz & Quinn explained that pertussis is an upper respiratory infection caused by the Bordetella pertussis bacteria in addition to the systemic manifestations such as “lympocytosis, dysregulated secr...
Chronic bronchitis differs from emphysema in that it affects the bronchioles. There are two forms of bronchitis: chronic and acute. We are going to focus on chronic bronchitis. In this disease, the bronchioles become thick and inflamed. The affected person might cough up thick mucus which can also block the bronchioles.
Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases that block airflow and make it hard to breathe. Emphysema and chronic bronchitis are the most common types of COPD (Ignatavicius & Workman, 2016, p 557). Primary symptoms include coughing, mucus, chest pain, shortness of breath, and wheezing (Ignatavicius & Workman, 2016, p.557). COPD develops slowly and worsens over time if not treated during early stages. The disease has no cure, but medication and disease management can slow its progress and make one feel better (NIH, 2013)
Today I will be explaining the importance and details of tracheobronchitis also referred to as bronchitis. Tracheobronchitis as the name gives off is an inflammation of the trachea and bronchitis. The trachea and bronchi’s main role is to extend air into the lungs, so that they are able to reach the alveoli which are responsible for gas exchange in the lungs. Tracheobronchitis is often times not contagious depending upon the cause of inflammation, inflammation can result from an allergic reaction, bacterial infection or virus. Some important clinical manifestations that you may see include wheezing which are a result of inflamed airways,fever, dry or phlegm cough, night sweats, headache and sore throat. Tracheobronchitis does not always have to be severe it can also be acute and last only a few weeks.
Haas, D. F. (1990). The Chronic Bronchitis And EMPHYSEMA. New York,NY: John Wiley and Sons, Inc.
Chronic Obstructive Pulmonary Disease (COPD) is a lung disease that affects breathing. This disease is one that blocks or obstructs air flow which then affects the way that one breathes. It diminishes the capability of airflow in and out of the lungs. COPD is the term used for a group of different diseases that affect the lungs. The two most common types of COPD are emphysema and chronic bronchitis. Emphysema is a destruction of the small bronchioles in the lungs and chronic bronchitis is an inflammation of the lining of the bronchial tubes. Both emphysema and chronic bronchitis are obstructive diseases that impact breathing in a negative manner. (COPD, 2014)
Every year, almost 1,500 people who have worked in the nation’s coalmines die from black lung disease. That’s equivalent to the Titanic sinking every year, with no ships coming to the rescue. While that disaster which took place so long ago continues to fascinate the nation, black lung victims die an agonizing death in isolated rural communities, away from the spotlight of publicity.
Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir & Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associated with significant morbidity and mortality (Marx, Hockberger & Walls, 2014). Signs and symptoms that indicate the presence of the disease include a productive cough, wheezing, dyspnoea and predisposing risk factors (Edelman et al., 1992). The diagnosis of COPD is predominantly based on the results of a lung function assessment (Larsson, 2007). Chronic bronchitis is differentiated from emphysema by it's presentation of a productive cough present for a minimum of three months in two consecutive years that cannot be attributed to other pulmonary or cardiac causes (Marx, Hockberger & Walls, 2014) (Viegi et al., 2007). Whereas emphysema is defined pathologically as as the irreversible destruction without obvious fibrosis of the lung alveoli (Marx, Hockberger & Walls, 2014) (Veigi et al., 2007).It is common for emphysema and chronic bronchitis to be diagnosed concurrently owing to the similarities between the diseases (Marx, Hockberger & Walls, 2014).
Chronic bronchitis is a disorder that causes inflammation to the airway, mainly the bronchial tubules. It produces a chronic cough that lasts three consecutive months for more than two successive years (Vijayan,2013). Chronic Bronchitis is a member of the COPD family and is prominently seen in cigarette smokers. Other factors such as air pollutants, Asbestos, and working in coal mines contributes to inflammation. Once the irritant comes in contact with the mucosa of the bronchi it alters the composition causing hyperplasia of the glands and producing excessive sputum (Viayan,2013). Goblet cells also enlarge to contribute to the excessive secretion of sputum. This effects the cilia that carry out the mechanism of trapping foreign bodies to allow it to be expelled in the sputum, which are now damaged by the irritant making it impossible for the person to clear their airway. Since the mechanism of airway clearance is ineffective, the secretion builds up a thickened wall of the bronchioles causing constriction and increasing the work of breathing. The excessive build up of mucous could set up pneumonia. The alveoli are also damaged enabling the macrophages to eliminate bacteria putting the patient at risk for acquiring an infection.
Liam is a previously healthy boy who has experienced rhinorrhoea, intermittent cough, and poor feeding for the past four days. His positive result of nasopharyngeal aspirate for Respiratory Syncytial Virus (RSV) indicates that Liam has acute bronchiolitis which is a viral infection (Glasper & Richardson, 2010). “Bronchiolitis is the commonest reason for admission to hospital in the first 6 months of life. It describes a clinical syndrome of cough tachypnoea, feeding difficulties and inspiratory crackles on chest auscultation” (Fitzgerald, 2011, p.160). Bronchiolitis can cause respiratory distress and desaturation (91% in the room air) to Liam due to airway blockage; therefore the infant appears to have nasal flaring, intercostal and subcostal retractions, and tachypnoea (54 breathes/min) during breathing (Glasper & Richardson, 2010). Tachycardia (152 beats/min) could occur due to hypoxemia and compensatory mechanism for low blood pressure (74/46mmHg) (Fitzgerald, 2011; Glasper & Richardson, 2010). Moreover, Liam has fever and conjunctiva injection which could be a result of infection, as evidenced by high temperature (38.6°C) and bilateral tympanic membra...
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
Bursitis Does it hurt to move your arm? Is it tender and radiating pain to your neck and finger tips? Do you have a fever? If you answered yes to two or more of these questions, then you may have a typical joint injury called bursitis. Bursitis is an inflammation of the bursa that is easily prevented, detected, and treated.
Most of you may not think of asthma as a killer disease, yet more that 5,000 Americans die of asthma each year. According to the Mayo Clinic web page, asthma also accounts for more that 400,000 hospital discharges annually. As the number of people with asthma increases, the more likely you are to come in contact with a person who has the disease. As far as I can remember, I have had asthma my whole life. My mother and one of my sisters also have asthma, so I have a first hand experience with it. This morning, I will discuss some interesting facts about asthma, I will specifically focus on what it is, warning signs, symptoms, causes, and the treatments that are used.