Chronic bronchitis auscultation characteristics

Written by Wang Xiang Yu
Pulmonology
Updated on September 05, 2024
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Most patients with chronic bronchitis, for the most part, show no abnormalities upon lung auscultation. This means their breath sounds are relatively clear, without diminished or enhanced breath sounds, nor any dry or wet rales typically heard. This is the case for the majority of patients; however, a small number of patients during acute exacerbations might present with some dry or wet rales at the back or the base of the lungs. Moreover, these rales may disappear after the patient coughs, indicating that in chronic bronchitis, the sounds heard upon auscultation can change and are not constantly present. You might hear dry or wet rales one moment, and after the patient coughs or receives treatment, these sounds could potentially alleviate. Additionally, if a patient with chronic bronchitis starts to wheeze or develops asthma, they might exhibit sounds such as wheezing or prolonged expiration.

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Written by Han Shun Li
Pulmonology
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The difference between acute bronchitis and bronchitis

What is the difference between acute bronchitis and bronchitis? Generally speaking, in terms of the duration of the disease, bronchitis can be classified into acute bronchitis and chronic bronchitis. Acute bronchitis is a type of bronchitis. It is often caused by infections, physical and chemical factors, allergies, etc. Patients may experience fever, cough, and expectoration, and the duration usually lasts 2 to 3 weeks. In the case of chronic bronchitis, the course of the disease is longer, with symptoms such as repeated coughing, expectoration, and wheezing, and the symptoms persist and do not improve.

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Written by Wang Xiang Yu
Pulmonology
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Causes of Chronic Bronchitis

The causes of chronic bronchitis are not yet very clear. It is currently speculated that it may be the result of multiple factors interacting over a long period. The factors most closely associated with the occurrence of chronic bronchitis primarily include smoking, cigarette smoke, dust, and irritants such as sulfur dioxide, nitrogen dioxide, chlorine, ozone, etc. Additionally, some infectious factors may also be somewhat related to the occurrence of chronic bronchitis, with the most common possibly being infections by mycoplasma, bacteria, or viruses. Furthermore, chronic bronchitis may be related to age, climate, and other factors. Overall, the triggers of chronic bronchitis are not very clear at present, and it is advised to eliminate these risk factors as much as possible if present.

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis etiology

The etiology of chronic bronchitis is not very clear at present, and it is now believed to be caused by the long-term interaction of various factors. The most closely related factors are harmful gases or particles that act on the respiratory tract for a long time, causing damage to some structures of the respiratory tract, such as cigarette smoke, fumes, dust, irritating gases, sulfur dioxide, nitrogen dioxide, etc. These physicochemical factors cause damage to the airways. Additionally, some infectious agents, such as bacteria, mycoplasma, or viral infections, along with some immune-related factors, are believed to play a certain role in the development of chronic bronchitis.

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Written by Li Jian Wu
Pulmonology
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Chronic Bronchitis Nursing Measures

Chronic bronchitis is a chronic inflammation of the respiratory system, which tends to be prolonged and recurrent. For those suffering from this disease, it is primarily important to quit smoking, which is a crucial preventive measure against acute attacks of chronic bronchitis. It is also essential to control occupational or environmental pollution to avoid the irritation of harmful gases such as dust and smoke. Additionally, it is advisable to strengthen the body through regular exercise, enhance immunity, and increase cold resistance. It is recommended to wash the face with cold water all year round to enhance the skin's ability to prevent and fight diseases. During the flu season, getting a flu vaccine to prevent the onset of a cold, reinforcing dietary hygiene, and enhancing health education is also advised.

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Written by Wang Xiang Yu
Pulmonology
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Is chronic bronchitis contagious?

Chronic bronchitis refers to some chronic non-specific inflammation of the bronchial mucosa and surrounding tissues. Its main symptoms are coughing and expectoration, so many people are concerned about the contagion from patients with chronic bronchitis. However, chronic bronchitis itself is not a contagious disease and is not considered for acute infectious disease management. This means that most of the time, it is relatively safe to be in contact with patients suffering from chronic bronchitis. Nonetheless, there are some exceptions, such as certain cases where a chronic bronchitis patient might also be afflicted with mycoplasma infections or certain viral infections, such as H1N1 influenza, H3N2 influenza, or other infections like tuberculosis. In such cases, the chronic bronchitis patient may potentially be infectious.