Upper respiratory infection: Difference between revisions
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==Background== | ==Background== | ||
*Rhinovirus is most common cause | *Rhinovirus is most common cause<ref>Tallman TA. Acute Bronchitis and Upper Respiratory Tract Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011</ref> | ||
**Other causes include: coronavirus, adenovirus. | **Other causes include: [[coronavirus]], [[adenovirus]]. | ||
==Clinical Features== | ==Clinical Features== | ||
*Common cold | *Common cold<ref>Tallman TA. Acute Bronchitis and Upper Respiratory Tract Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011</ref> | ||
**Sore throat | **[[Sore throat]] | ||
**Malaise | **Malaise | ||
**Low-grade fever | **Low-grade [[fever]] | ||
**Cough (usually 24-48 hrs later) | **[[Cough]] (usually 24-48 hrs later) | ||
**Rhinorrhea | **[[Rhinorrhea]] | ||
**Nasal congestion | **Nasal congestion | ||
** | **Symptoms peak by day 3 or 4, resolve by day 7 | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ILI DDX}} | |||
== | {{Cough DDX}} | ||
==Evaluation== | |||
*Clinical diagnosis. | *Clinical diagnosis. | ||
*Rule out other serious causes | *Rule out other serious causes | ||
| Line 25: | Line 24: | ||
==Management== | ==Management== | ||
*Supportive care | *Supportive care | ||
** | **Avoid prescribing antibiotics<ref>Choosing Wisely. Infectious Diseases Society of America. http://www.choosingwisely.org/clinician-lists/infectious-diseases-society-antbiotics-for-upper-respiratory-infections/</ref> | ||
**Mucolytics: little evidence to support usage | **Mucolytics: little evidence to support usage | ||
**Bronchodilators if wheezing present | **[[Bronchodilators]] if [[wheezing]] present | ||
==Disposition== | ==Disposition== | ||
*Outpatient | |||
==See Also== | ==See Also== | ||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:ID]] | |||
Revision as of 20:28, 22 October 2019
Background
- Rhinovirus is most common cause[1]
- Other causes include: coronavirus, adenovirus.
Clinical Features
- Common cold[2]
- Sore throat
- Malaise
- Low-grade fever
- Cough (usually 24-48 hrs later)
- Rhinorrhea
- Nasal congestion
- Symptoms peak by day 3 or 4, resolve by day 7
Differential Diagnosis
Influenza-Like Illness
- Influenza
- Parainfluenza
- URI
- Pneumonia
- Sinusitis
- Toxic exposure
- Pyelonephritis
- Bronchitis
- Coronavirus
Cough
Acute (< 3 wks)
- URI (rhinitis, sinusitis, pertussis)
- LRI (bronchitis, pneumonia)
- Influenza
- Allergy
- Asthma
- Environmental irritants
- Transient airway hyperresponsiveness
- Foreign body
- SARS
Chronic (> 8 wks)
- Postinfectious; pertussis
- Smoking and/or chronic bronchitis
- Postnasal discharge
- Asthma
- GERD
- ACEI/ARB
- CHF
- Lung cancer or intrathoracic mass
- Emphysema
- Interstitial lung disease
- Psychiatric
Evaluation
- Clinical diagnosis.
- Rule out other serious causes
Management
- Supportive care
- Avoid prescribing antibiotics[3]
- Mucolytics: little evidence to support usage
- Bronchodilators if wheezing present
Disposition
- Outpatient
See Also
External Links
References
- ↑ Tallman TA. Acute Bronchitis and Upper Respiratory Tract Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011
- ↑ Tallman TA. Acute Bronchitis and Upper Respiratory Tract Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011
- ↑ Choosing Wisely. Infectious Diseases Society of America. http://www.choosingwisely.org/clinician-lists/infectious-diseases-society-antbiotics-for-upper-respiratory-infections/