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8 Cards in this Set

  • Front
  • Back

What is bronchiolitis?

Widespread inflammation of bronchioles due to infectious agents

Bronchiolitis


Common organisms


› Viral :

RSV, influenzavirus (A, B, C)

Bronchiolitis


Common organisms


› Bacterial :


H. influenzae, pneumococci, hemolytic streptococci, mycoplasma, chlamydia, Pneumocystis jiroveci

Bronchiolitis


Pathogenesis:

› Proliferation and necrosis of bronchiolar


epithelium
› Production of thick, tenacious mucus

Bronchiolitis


Pathogenesis


› Possible mechanisms of airway obstruction:

Development of inflammatory exudate
Release of chemical mediators
Inflammation


Goblet cell metaplasia
Increased bronchial muscle mass

Bronchiolitis


Clinical manifestations:

› Severity and course range from mild-fatal › Wheezing r/t bronchospasm
› Crackles
› Decreased breath sounds
› Retractions
› Increased sputum
› Dyspnea
› Tachypnea
› Low-grade fever

Bronchiolitis


Diagnosis:

› Elevated WBC › Chest x-ray


Enlarged air sacs, interstitial infiltrates, atelectasis, severe hyperinflation


› PFT (pulmonary function tests) Severe obstruction to airflow


› Nasal swab

Bronchiolitis


Treatment:

› Adequate oxygenation
› Bronchodilator agents
› Corticosteroids
› Sedation (anxiety)
› Hydration, administration of medications › Antiviral/antibiotics
› Smoking cessation