Acute Bronchitis


SYMPTOMS/EXAM

DIFFERENTIAL

DIAGNOSIS

TREATMENT


ITE 2012, Q224. A 24-year-old female presents with a 10-day history of cough productive of green sputum. Her past medical history is unremarkable and she is up to date on all immunizations. The patient’s temperature is 37.2°C (98.9°F), blood pressure 127/76 mm Hg, pulse rate 89 beats/min, respiratory rate 24/min, and O2 saturation 95% on room air. Her physical examination is unremarkable except for a loose cough.
Which one of the following is best supported by evidence for management of this patient’s condition?

A) A macrolide antibiotic such as azithromycin (Zithromax)
B) An oral corticosteroid such as prednisone
C) An inhaled -agonist such as albuterol (Proventil, Ventolin)
D) An expectorant such as guaifenesin
E) Reassurance that symptoms will likely resolve on their own within 3 weeks

ANSWER: E