Diferencia entre revisiones de «High altitude pharyngitis and bronchitis»
| Línea 1: | Línea 1: | ||
==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== | ||
Revisión del 00:25 23 may 2021
Background
- One of the most common conditions at high altitude[1]
Clinical Features
- Dry, hacking cough is common at >8000ft
- Purulent bronchitis/painful pharyngitis common with prolonged periods at extreme altitude
- Severe coughing spasms can result in cough fracture of ribs
Differential Diagnosis
High Altitude Illnesses
- Acute mountain sickness
- Chronic mountain sickness
- High altitude cerebral edema
- High altitude pulmonary edema
- High altitude peripheral edema
- High altitude retinopathy
- High altitude pharyngitis and bronchitis
- Ultraviolet keratitis
Evaluation
- Clinical diagnosis after exclusion of other etiologies (e.g. infection)
Expected SpO2 and PaO2 levels at altitude[2]
| Altitude | SpO2 | PaO2 (mm Hg) |
|---|---|---|
| 1,500 to 3,500 m (4,900 to 11,500 ft) | about 90% | 55-75 |
| 3,500 to 5,500 m (11,500 to 18,000 ft) | 75-85% | 40-60 |
| 5,500 to 8,850 m (18,000 to 29,000 ft) | 58-75% | 28-40 |
Management
- Albuterol
- Breathing steam, sucking on hard candies, forcing hydration
- Antibiotics are NOT helpful