What is the examination and differential diagnosis of bronchitis? |
The diagnosis of acute bronchitis mainly depends on the history and clinical manifestations, no abnormalities on the X-ray examination or only deepening of the lung texture. In the case of virus infection, the white blood cell count did not increase, the lymphocytes increased relatively slightly, and the total number of white blood cells and neutrophils increased during bacterial infection. Pathogenic pathogens can sometimes be found in sputum smear or sputum culture, serological examination, and the like.
Differential diagnosis
A variety of acute infectious diseases such as tuberculosis, lung abscess, mycoplasmal pneumonia, measles, whooping cough, acute tonsillitis, and postnasal drip syndrome, cough variant asthma, gastroesophageal reflux disease, interstitial lung disease, Acute pulmonary embolism and lung cancer often have cough in the onset, similar to the cough symptoms of acute bronchitis, so it should be in-depth examination, clinically need to be identified.
The symptoms of influenza are quite similar to those of acute bronchitis, but it is not difficult to distinguish from the widespread epidemic of influenza, sudden onset of illness, obvious symptoms of poisoning, high fever and sore muscles. The virus isolation and complement fixation test can confirm the diagnosis.
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