Chronic Bronchitis

definition :

Chronic inflammation of the bronchial mucosa expressed clinically by hypersecretion of mucus that causes coughing YEAR 3 months , two consecutive years.
etiology :
1. SMOKING
2 . factors infectious
3 . Professional toxic – dust , dirt , lint
4. Allergen – pollen, mold
5 . Socio -economic conditions ( unhealthy housing without heat, air currents , egrasie )

Clinical picture :
1 . Insidious onset with cough with expectoration , dyspnea , asthenia,
2. Period status – coughing , shortness of breath , pain in the chest by respiratory muscle overload
3 . In periods of acute fever , sputum becomes purulent , dyspnea is widening
Clinical examination shows :
– Thorax globular
– Decreased transmission of voice vibrations
– Sonora normal or elevated pulmonary
– Accentuated breath sounds
– Romflante crackles and wheezing in both lung areas

Laboratory picture :
– In Blood – neutrophilic leukocytosis
– Bacteriological examination of sputum – microbial flora during the flare ,
– Radiological – highlighted lung Drawing

Treatment:
– Hygienic -dietary : Removing smoking, removing allergenic factors , changing jobs ( occupational allergens ) , avoiding congestion , seasonal flu vaccine , avoid cold, damp and cool places
– Medicines
1. Expectorants and thinners of expectoration
2. bronchodilators
3 . Antibiotics in acute periods

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