Acute bronchitis: The Daily PANCE Blueprint

Acute bronchitis: The Daily PANCE Blueprint

A 6-month-old infant presents to the clinic with 3 days of cough, congestion, and low-grade fever. The infant is feeding well with mild retractions and no hypoxia. What is the most appropriate management for this case of bronchiolitis?

A. Nebulized albuterol
B. Oral corticosteroids
C. Supportive care
D. Ribavirin
E. Azithromycin

Answer and topic summary

The answer is C. Supportive care

Bronchiolitis is a lower respiratory tract infection that typically occurs in children less than 2 years old. It is defined by inflammation of the bronchioles. The most common cause is respiratory syncytial virus (RSV). Clinical features include fever, cough, wheezing, and nasal congestion. Management is supportive (oxygen if needed, hydration, nasal suctioning, Tylenol for fevers, etc).

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Pulmonary ⇒ Infectious Pulmonary Disorders (PEARLS) ⇒ Acute bronchitis 

Also covered as part of the Emergency Medicine EORInternal Medicine EORFamily Medicine EOR, and Pediatric EOR topic lists

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