Symptoms of acute bronchitis include: sputum production, dyspnea, wheezing, chest pain, fever, hoarseness, malaise, rhonchi, and rales. Each of these may be present in varying degrees or may be absent altogether. Sputum may be clear, white, yellow, green, or even tinged with blood. On physical examination, the patient with acute bronchitis may or may not have fever and has tachypnea, as well as pulmonary signs such as wheezing, rhonchi, and prolonged expiration. In this case, the patient has no fever, and the cough is nonproductive. Although an acute bronchitis can result in wheezing, it is less likely in this scenario, especially when the patient also has features of allergic rhinitis.
Diagnosis and Management of Acute Bronchitis. Doug Knutson, M.D.;
American Family Physician, Vol. 65, No. 10, May 15,2002
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