For a diagnosis of bronchitis in a smoker, what finding is commonly observed on examination?

Prepare for the Rosh Internal Medicine Boost End of Rotation (EOR) Exam with flashcards and multiple-choice questions. Each question offers hints and explanations to help you excel. Get exam-ready now!

A finding commonly observed in a patient with bronchitis, especially in smokers, is wheezing. This is due to the inflammation of the bronchial passages that can lead to narrowing, resulting in a high-pitched, musical sound during breathing. In bronchitis, this wheezing may occur during expiration as air moves through constricted airways.

Wheezing is particularly prevalent in chronic bronchitis, which is often seen in long-term smokers. The irritation and inflammation caused by smoking can lead to excessive mucus production and airway obstruction, further contributing to the wheezing sound.

Other options like clubbing are more associated with chronic, severe lung diseases, often reflecting underlying pathology such as lung cancer or interstitial lung disease, rather than bronchitis. Fever might occur in acute bronchitis with a viral infection, but it's not a definitive finding in typical cases, especially in smokers. Pulmonary edema results from different mechanisms, primarily related to heart failure or fluid overload, and is not a characteristic finding in bronchitis.

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