Bronchitis

A 65-year-old woman with a history of chronic bronchitis presents to the emergency department with increased shortness of breath, purulent sputum production, and wheezing for the past 3 days. She is a former smoker with a 30-pack-year history. On examination, her temperature is 37.5C, heart rate 95 bpm, respiratory rate 22 breaths/min, and oxygen saturation is 90% on room air. Chest auscultation reveals wheezes and coarse crackles bilaterally.

What is the most appropriate treatment for this acute exacerbation?

A 60-year-old man with a 40-pack-year smoking history presents to the respiratory clinic with a chronic productive cough that he has had for the past 2 years. He reports coughing up sputum daily, particularly in the morning. He denies fever, weight loss, or night sweats. On examination, his vital signs are normal, and there are bilateral coarse crackles on chest auscultation.

What is the most likely diagnosis?

A 25-year-old man presents with a sudden onset of cough, sore throat, and mild fever for the past five days. The cough is productive of clear sputum. He denies any history of chronic lung disease. Physical examination reveals scattered wheezes and rhonchi.

What is the most likely type of bronchitis?

A 38-year-old woman with acute bronchitis presents with a persistent cough and yellowish sputum production. She is otherwise healthy and has no significant medical history. She requests advice on managing her symptoms.

What is the most appropriate management for her acute bronchitis?

A 45-year-old man presents to his GP with a 5-day history of a productive cough, mild dyspnoea, and low-grade fever. He has no significant past medical history and is a non-smoker. On examination, his temperature is 37.8C, respiratory rate 18 breaths/min, heart rate 88 bpm, and oxygen saturation 98% on room air. Chest auscultation reveals scattered wheezes but no crackles.

What is the most appropriate initial management for this patient?