id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-022451-8qtjr0a9	Barrett, Bruce	Productive Cough (Acute Bronchitis)	2009-05-15		.txt	text/plain	3277	233	56	This acute illness has caused her to reduce smoking to "a few cigarettes a day." She notes that "I really should quit that stuff." She has been using an over-the-counter combination cold formula, which she believes has helped manage the cough, although it does make her "a bit groggy." Although you have not seen Jane before with this specific constellation of symptoms, you presumptively diagnose acute bronchitis, most likely caused by recent and perhaps ongoing upper airway viral infection with mid-airway inflammatory sequelae. Although it may be reasonable to prescribe antibiotics for some patients with acute bronchitis (e.g., if early pneumonia is suspected or if there is underlying chronic lung disease), most experts recommend against this practice (Anonymous, 1997• A ; Gonzales et al., 2001a,b• C) because societal harms (antibiotic resistance) and individual adverse effects may outweigh potential benefits.	./cache/cord-022451-8qtjr0a9.txt	./txt/cord-022451-8qtjr0a9.txt