Bronchitis and bronchiectasis

BRONCHITIS AND BRONCHIECTASIS

Bronchitis

Acute Bronchitis

  • Etio - Infectious, Non-infectious, Irritative
    • Infectious Tracheobronchitis (kennel cough)
  • Very imprecise term
  • Etio - Virus - CD, CAV -2, CPI (Simian V 5 )
    • Mycoplasma and Bacteria
  • Signs - Kennel problem in unideal Hygiene
    • Transmission through masopharynx.
  • cough, dry/moist, hacking paloxysmal
  • gagging, expectoration
    • Excitement, change in temp, humidity, palpation may elicit cough
    • mild cases, runny eyes, tonsilitis
    • x-ray - mild Broncho Pneumonia
  • Severe form - fever (103 0 - 104 0 ) anorexia
  • mild or no cough. Mucoid/MP
  • nasal discharge. Tonsilitis,Pneumonia
  • Dx - MDB, x-ray, vaccinations, bronchial
  • wash - Intranuclear Inclusions
    •  R/o - CD, ICH, Mycoses.
  • Rx - Confinement, isolation, antitussive
  • ihydrocodainone 5ml/20lb Q.I.D.
  • AB against Gram - Ve. Chloramph.
  • Cephalosporins, Gentamicin
  • Nembulizers. Bronchodilators.
  • Isuprel Comp. Elexir 2ml/10lb T.I.D.
  • TLC and supportive therapy

Chronic Bronchitis

  • Etio - Viral, Bact, Allergy, Mycoses, neoplasia, C.V.
  • Signs - More common in > 4 yrs. Persistant Harsh cough with retching
    • Productive moist. Moist rales on Ausc.
  • Dx - MDB., x-ray, cBC, - "Stress". Bronchoscopy
  • Cytology, culture
  • Rx - Control/Cure - AB, Bronchodilators, expect.
  • Antitussive Prednisilone 0.5 mg/lb/day
    • TLC, Humidification, Hembulization.
    • Treat the cause

Bronchiectasis

  • Persistant abn. dilation of Bronchi/Bronchioles
  • Both Saccular and Cylindrical dilations
  • Etio - Sequela to Chr. Bronchitis, F.B, Pulmonary.
  • Fibrosis, Neoplasia
    • Destruction of Wall, collection of Mucous, no collateral ventilation
  • Cillia and elastic muscular component destroyed.
  • Distortion & Fibrosis of the lumen, dilation, pooling
  • Signs - History of persistant tracheo Br. Alg. Br. Pneum.
    • Early, dry and non Prod. cough, later prod. Hemoptysis
    • Auscultation rales like Chr. Br., Anorexia depression, fever
  • Dx - MDB, Br. scopy, Culture, Br. wash, - Inflam. Resp.
  • x-ray - fibrosis, peribronchial thickening, atelectasis,
  • consolid.
    • Absence of N. branching Pattern. doughnets
  • Rx - Symp. like chr. Br. Control-yes, cure -no.
Last modified: Tuesday, 5 June 2012, 12:18 PM