High altitude pharyngitis and bronchitis - Revision history

Rontluu: /* Disposition */

2021-05-23T00:33:33Z

Disposition

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	==Disposition==		==Disposition==
	*Generally treated as an outpatient as long as ~~other~~ alternative etiologies are excluded		*Generally treated as an outpatient as long as alternative etiologies are excluded

	==See Also==		==See Also==

2021-05-23T00:32:49Z

Management

← Revisión anterior		Revisión del 00:32 23 may 2021
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	==Management==		==Management==
			*Symptomatic treatment
	*[[Albuterol]]		*[[Albuterol]]
	*Breathing steam, wearing a face mask, sucking on hard candies, forcing hydration		*Breathing steam, wearing a face mask, sucking on hard candies, forcing hydration
	*[[Antibiotics]] are NOT helpful		*[[Antibiotics]] are NOT helpful

			==Disposition==
			*Generally treated as an outpatient as long as other alternative etiologies are excluded

	==See Also==		==See Also==

2021-05-23T00:31:50Z

Evaluation

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	==Evaluation==		==Evaluation==
	*Clinical diagnosis after exclusion of other etiologies (e.g. infection)		*Clinical diagnosis after exclusion of other etiologies (e.g. infection)
			*Rule out [[HAPE]]

	{{Expected SpO2 at altitude}}		{{Expected SpO2 at altitude}}

2021-05-23T00:30:30Z

Management

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	==Management==		==Management==
	*[[Albuterol]]		*[[Albuterol]]
	*Breathing steam, sucking on hard candies, forcing hydration		*Breathing steam, wearing a face mask, sucking on hard candies, forcing hydration
	*[[Antibiotics]] are NOT helpful		*[[Antibiotics]] are NOT helpful

2021-05-23T00:29:17Z

Differential Diagnosis

2021-05-23T00:27:51Z

Clinical Features

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	==Clinical Features==		==Clinical Features==
	*Dry, hacking [[cough]] is common at >8000ft		*Dry, hacking [[cough]] is common at > 8000ft (~2500m)
	*Purulent [[bronchitis]]/painful [[pharyngitis]] common with prolonged periods at extreme altitude		*Purulent [[bronchitis]]/painful [[pharyngitis]] common with prolonged periods at extreme altitude
	*Severe coughing spasms can result in cough [[rib fracture\|fracture of ribs]]		*Severe coughing spasms can result in cough [[rib fracture\|fracture of ribs]]
			*May be confused with [[HAPE]]

	==Differential Diagnosis==		==Differential Diagnosis==

2021-05-23T00:26:54Z

Background

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	==Background==		==Background==
	*One of the most common conditions at high altitude<ref>Basnyat B, Litch JA. Medical problems of porters and trekkers in the Nepal Himalaya. Wilderness Environ Med. 1997;8(2):78-81.</ref>		*One of the most common conditions at high altitude<ref>Basnyat B, Litch JA. Medical problems of porters and trekkers in the Nepal Himalaya. Wilderness Environ Med. 1997;8(2):78-81.</ref>
			*Possibly due to hyperventilation of altitude, dry & cold air of altitude

	==Clinical Features==		==Clinical Features==

2021-05-23T00:25:22Z

Background

← Revisión anterior		Revisión del 00:25 23 may 2021
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	==Background==		==Background==
			*One of the most common conditions at high altitude<ref>Basnyat B, Litch JA. Medical problems of porters and trekkers in the Nepal Himalaya. Wilderness Environ Med. 1997;8(2):78-81.</ref>

	==Clinical Features==		==Clinical Features==

2020-03-02T19:28:46Z

Evaluation

← Revisión anterior		Revisión del 19:28 2 mar 2020
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis after exclusion of other etiologies (e.g. infection)		*Clinical diagnosis after exclusion of other etiologies (e.g. infection)

			{{Expected SpO2 at altitude}}

	==Management==		==Management==

2019-09-28T19:08:42Z

← Revisión anterior		Revisión del 19:08 28 sep 2019
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	==Background==		==Background==

	==~~Evaluation~~==		==Clinical Features==
	*Dry, hacking cough is common at >8000ft		*Dry, hacking [[cough]] is common at >8000ft
	*Purulent bronchitis/painful pharyngitis common with prolonged periods at extreme altitude		*Purulent [[bronchitis]]/painful [[pharyngitis]] common with prolonged periods at extreme altitude
	*Severe coughing spasms can result in cough fracture of ribs		*Severe coughing spasms can result in cough [[rib fracture\|fracture of ribs]]

	==Differential Diagnosis==		==Differential Diagnosis==
	{{High altitude DDX}}		{{High altitude DDX}}

			==Evaluation==
			*Clinical diagnosis after exclusion of other etiologies (e.g. infection)

	==Management==		==Management==