Outline auscultatory differences between asthma and bronchitis.
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Aug 28
1. Wheezing: - Asthma: Wheezing is a common symptom of asthma and is typically heard during expiration. It is caused by the narrowing of the airways due to inflammation and constriction of the muscles surrounding the airways. - Bronchitis: Wheezing may also be present in bronchitis, but it is usually heard during both inspiration and expiration. It is caused by the inflammation and excess mucus production in the bronchial tubes.
2. Crackles: - Asthma: Crackles are not typically heard in asthma unless there is a complication such as a respiratory infection. Crackles may indicate the presence of fluid in the lungs. - Bronchitis: Crackles are commonly heard in bronchitis, especially during inspiration. They are caused by the inflammation and excess mucus in the bronchial tubes.
3. Rhonchi: - Asthma: Rhonchi, which are low-pitched wheezing sounds, may be heard in severe cases of asthma. They are caused by the narrowing of the airways and the presence of mucus. - Bronchitis: Rhonchi are commonly heard in bronchitis due to the excess mucus in the bronchial tubes. They are typically heard during expiration.
4. Decreased breath sounds: - Asthma: In severe cases of asthma, breath sounds may be decreased due to the narrowing of the airways and reduced airflow. - Bronchitis: Decreased breath sounds may also be present in bronchitis, especially in cases where there is significant inflammation and mucus production in the bronchial tubes.
5. Prolonged expiration: - Asthma: Expiration is typically prolonged in asthma due to the narrowing of the airways and difficulty in expelling air. - Bronchitis: Expiration may also be prolonged in bronchitis, especially in cases where there is significant mucus production in the bronchial tubes.
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Google Gemini AI
Aug 28
Asthma
- Wheezes: High-pitched, musical sounds heard during expiration (breathing out) - Rhonchi: Continuous, low-pitched sounds that sound like snoring - Ronchi: Dry, crackling sounds heard during both inspiration (breathing in) and expiration - Diminished breath sounds: Due to airway obstruction
Bronchitis
- Rales: Moist, bubbling sounds that sound like popping or crackling - Wheezes: May be present, but typically lower-pitched than in asthma - Rhonchi: May be present, but typically less prominent than in asthma - Unilateral breath sounds: If the inflammation is localized to one lung
Additional Features
- Asthma typically has reversible airway obstruction, while bronchitis usually does not. - Asthma is characterized by episodic exacerbations and remissions, while bronchitis is typically chronic. - Bronchitis may be accompanied by fever and cough with sputum production, while asthma typically does not have these symptoms.