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ETIOLOGICAL FACTOR

Cough
Cold
Fever

Compromised Immune System


Bacteria
esp. in children

Becomes trapped in sticky mucus &


swept upwards and outwards by cilia

Building of Cilia slows down and Bacteria release toxins to further damage
becomes paralyzed and disappear the cilia and epithelial cells

Cilia cells are replaced by goblet


cells as bronchitis progress

Constant Coughing tends to


be a combination of:

Air Inflammation Excessive Bronchial


Increased Cough
Secretion
Receptor Sensitivity

Inflammatory cells
begin with chemical
alarm

Release of Macrophages release


Released by intruder stress
Interleukin 4,5 & cytokines & interferon
tissue cells & immune cells
histamine gamma

Inflammation of Bronchial Wall

Goblet Cell Hyperplasia and Thickening of wall


Hypertrophy narrows passages

Increase obstruction to Air passages becomes clogged


airflow

Crackles/Crackling
Hypersecretion of Mucus Sound

Diminishing Bronchial Mucociliary Function

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