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Common Cold (Acute Rhinitis) | Causes (ex. Coronaviruses), Risk Factors, Transmission, Symptoms

Common Cold (Acute Rhinitis) | Causes (ex. Coronaviruses), Risk Factors, Transmission, Symptoms

JJ Medicine

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[00:00]

hey everyone in this lesson we are going

[00:01]

to discuss everything you need to know

[00:03]

about the common cold including what

[00:05]

causes it risk factors for getting the

[00:08]

common cold and we're also going to talk

[00:10]

about these signs and symptoms of the

[00:12]

cold how to distinguish it from the flu

[00:14]

and we're gonna talk about treatments

[00:16]

and preventative measures so the common

[00:19]

cold is also known as acute rhinitis

[00:21]

acute rhinitis so what is acute rhinitis

[00:25]

rhinitis if we break the word down the

[00:28]

prefix Rhine means nose you can think of

[00:32]

rhino or rhinoceros rhyme means nose and

[00:35]

itis means inflammation so it's acute

[00:39]

inflammation of the nose essentially

[00:41]

that's what common cold is but

[00:43]

specifically it is a viral infection of

[00:46]

the upper respiratory tract so upper

[00:49]

respiratory tract is the respiratory

[00:51]

tract above the larynx it is the most

[00:55]

common acute illness in the developed

[00:58]

world of the most common and as we're

[01:00]

all aware there's a seasonal variance

[01:02]

with highest number of cases in the

[01:04]

winter months and it's very typical that

[01:09]

an adult will get two to four common

[01:12]

colds per year whereas a child can get

[01:15]

even more six to eight per year now

[01:18]

there are many causative organisms that

[01:20]

can cause the common cold they're all

[01:22]

viruses because this is a viral

[01:24]

infection so there are more than 200

[01:27]

viruses that can cause the cold the

[01:29]

number one category of viruses that

[01:32]

cause the common cold are the

[01:33]

rhinoviruses and there are over 100

[01:36]

serotypes of rhinoviruses so that's very

[01:39]

easy to remember

[01:40]

Rhino viruses are the same prefix Rhino

[01:43]

means nose so rhinoviruses so very easy

[01:46]

to remember and they are so common of a

[01:49]

cause of the common cold that they are

[01:51]

approximately almost 1/3 to 1/2 of cases

[01:55]

so 30 to 50 percent of all cases of the

[01:57]

common cold are caused by rhinoviruses

[02:00]

in the second category of viruses that

[02:02]

cause the common cold are the corona

[02:04]

viruses the corona viruses are the

[02:07]

second most common category of causes so

[02:10]

we've heard about corona viruses

[02:12]

like the virus that causes Cova 19 but

[02:15]

we're not going to talk about that here

[02:17]

we're talking about the four common

[02:20]

corona viruses in the population that

[02:22]

can commonly cause the common cold the

[02:24]

four here are H CoV our human

[02:27]

coronavirus 2 2 9 3 H Co V and L 63

[02:32]

h co v OC 43 and h co v HK u 1 so these

[02:39]

corona viruses can occur on a seasonal

[02:41]

basis and they can cause approximately

[02:44]

10 to 15% of all cases of the common

[02:47]

cold the third most common category of

[02:50]

causes of the common cold are the

[02:52]

influenza viruses so the influenza

[02:55]

viruses usually cause about 5 to 15% of

[02:59]

cases so smaller portion para influenza

[03:03]

viruses can also cause the common cold a

[03:05]

roughly about 5 percent of cases the

[03:08]

respiratory syncytial virus over RSV can

[03:11]

cause again about 5 percent of cases now

[03:15]

there are other viruses that can cause

[03:16]

the common cold as well they're very

[03:18]

rare and less likely to happen but they

[03:21]

can cause an acute rhinitis and these

[03:23]

include adeno viruses enter viruses like

[03:26]

the Coxsackie virus usually if we have a

[03:30]

summer cold weekend we've heard of a

[03:32]

summer cold before it's usually

[03:34]

coxsackievirus or an enterovirus that is

[03:36]

causing the summer cold and there's also

[03:38]

meta pneumo virus that can cause a

[03:39]

common cold as well and very very

[03:41]

unlikely so how is a common cold

[03:45]

transmitted so the transmission of the

[03:47]

common cold occurs person-to-person that

[03:50]

makes sense we all know that usually

[03:53]

occurs from droplets or secretions from

[03:55]

the infected individual usually

[03:57]

secretions or droplets from the

[03:59]

respiratory or upper respiratory tract

[04:01]

so in think of mucus or runny nose that

[04:04]

is essentially shedding the virus so

[04:07]

virus can be in the nasal secretions and

[04:11]

then the virus can shed and it's shed

[04:14]

the most on the second day of the

[04:16]

illness so that's the peak shedding of

[04:18]

the virus and the viruses shed from

[04:20]

respiratory secretions not from the

[04:22]

saliva so

[04:24]

there have been studies looking at this

[04:26]

they've checked us alive of individuals

[04:28]

usually 90% of the time the virus is not

[04:32]

in the saliva but it can be in some

[04:35]

instances so don't want to say it's not

[04:37]

always from the saliva or not always

[04:40]

shed in the saliva but majority of the

[04:42]

time it is not so person person is one

[04:46]

way there's also airborne and close

[04:48]

contact as ways that this can be

[04:50]

transmitted as well the virus can be

[04:54]

aerosolized and go out in the air in

[04:56]

large and small droplets and it can get

[04:59]

on to hands so we can transmit the virus

[05:02]

through hand contact and then we can

[05:06]

transmit it through fomites so fomites

[05:08]

are indirect objects like tables and

[05:11]

desks and chairs so an individual who

[05:14]

touches their runny nose and touches a

[05:17]

table can leave the virus on the table

[05:19]

and that virus can last there for hours

[05:22]

it's estimated that the viruses can

[05:24]

survive on surfaces for two to four

[05:27]

hours so what are some of the

[05:30]

influencing or risk factors the first

[05:33]

one is sick contacts the most important

[05:35]

risk factor if we don't have sick

[05:37]

contacts were less likely to become

[05:39]

infected not always though because you

[05:42]

can get it from fomites or indirect

[05:44]

objects a big one here a big category of

[05:48]

sick contacts are daycare children again

[05:51]

children are estimated to have about six

[05:54]

to eight common colds in a year so

[05:58]

they're more likely to become infected

[05:59]

with the common cold so they're more

[06:02]

likely to have it and if you're exposed

[06:04]

to daycare children more often you're

[06:05]

more likely to get the coal yourself

[06:09]

smoking is the second risk factor if you

[06:11]

smoke you're more likely to catch the

[06:14]

cold

[06:15]

the third is psychological stress we've

[06:18]

all felt this before if there's times in

[06:20]

our life where we're very stressed and

[06:22]

there's a lot of stress we might be able

[06:24]

to get through that stressful period but

[06:25]

then after we get sick and psychological

[06:28]

stress can cause it some mild

[06:29]

immunosuppression and can increase our

[06:32]

risk of getting the common cold

[06:34]

the fourth risk factor is fatigue

[06:37]

decreased sleep it is tied together with

[06:39]

the psychological stress if you're

[06:41]

fatigued you're not rested you become

[06:44]

more susceptible to getting the common

[06:47]

cold the fifth is decreased physical

[06:49]

activity so if you have decreased

[06:51]

physical activity you're more likely to

[06:53]

get the common cold and the sixth

[06:56]

influencing or risk factor is having a

[06:58]

history of upper respiratory tract

[07:00]

diseases or respiratory allergies so

[07:04]

this plays into more the severity of the

[07:08]

symptoms of the common cold if you have

[07:09]

a history of these issues you're more

[07:11]

likely to have a more severe and more

[07:13]

long-lasting presentation of the common

[07:14]

cold and the seventh is malnutrition

[07:17]

again all tied together with

[07:18]

psychological stress and fatigue and a

[07:21]

decreased Constitution or decreased

[07:24]

immune system function what are some of

[07:26]

the clinical features of the common cold

[07:28]

so before we get into clinical features

[07:30]

the incubation period of the common cold

[07:33]

is anywhere from one to five days so it

[07:35]

can occur quite rapidly the main

[07:39]

clinical features are nasal congestion

[07:40]

so you're you have a stuffy nose and you

[07:44]

have rhinorrhea a runny nose so those

[07:46]

are the two biggest clinical features

[07:48]

you're gonna see with a common cold and

[07:51]

the rhinorrhea is bilateral so both

[07:53]

nostrils and it's gonna be clear sputum

[07:57]

it might be slightly Mew copula and

[08:00]

maybe a little bit of a white opaque

[08:02]

tinge to it but it's mostly clear it's

[08:05]

going to be copious in amounts you can

[08:07]

also see sneezing with this and you may

[08:10]

see a coffee it's not necessarily going

[08:13]

to happen but you may see a cough a lot

[08:15]

of times it's due to post nasal drip

[08:16]

you're gonna have a lot of mucus

[08:17]

secretions running down the back of your

[08:18]

throat causing irritation and cough and

[08:22]

we can also see the lymph adenopathy

[08:23]

swollen tender lymph nodes in the neck

[08:26]

some other signs and symptoms of the

[08:28]

common cold include pharyngitis so a

[08:30]

sore throat conjunctivitis so

[08:34]

information of the conjunctiva in the

[08:37]

eyes and you may may have low-grade

[08:40]

fever headache mileages fatigue unlikely

[08:44]

if you have these symptoms is more

[08:46]

likely to be a flu or influenza

[08:49]

but some viruses that cause a common

[08:51]

cold can cause some of these other

[08:54]

symptoms as well and a lot of times it's

[08:56]

the adeno viruses so oftentimes a way to

[08:59]

distinguish between the common cold and

[09:01]

the flu or influenza is that influence

[09:04]

you're gonna have a fever with myalgias

[09:06]

and a cough common cold you're gonna

[09:08]

have nasal congestion runny nose

[09:10]

sneezing and those are the main

[09:13]

distinguishing factors some symptoms do

[09:15]

over will happen sometimes in influence

[09:17]

you might have some nasal congestion and

[09:19]

in common cold you might have a little

[09:21]

bit of call from the post nasal drip but

[09:22]

a lot of times as I mentioned before the

[09:26]

common cold is your nose and nasal

[09:28]

congestion rhinorrhea and in influenza

[09:31]

or the flu you're going to have fever

[09:34]

cough and myalgias or muscle aches and

[09:37]

pains so now that we know the signs and

[09:42]

symptoms of the common cold what are

[09:44]

some of the complications of getting the

[09:45]

common cold some of the complications

[09:47]

are usually due to a secondary bacterial

[09:50]

infection so the common cold is due to a

[09:53]

viral infection and then it can suppress

[09:56]

our immune system it can cause us to be

[09:58]

more susceptible to becoming secondarily

[10:02]

infected with a bacteria so some of the

[10:05]

major complications are the most common

[10:08]

complications include acute otitis media

[10:10]

so acute otitis media is essentially an

[10:15]

inflammation of the middle ear so here

[10:20]

in these images you can see the eardrum

[10:23]

or the tympanic membrane that is bulging

[10:26]

and you can see in this image here you

[10:28]

can actually see pus or fluid in behind

[10:30]

the eardrum that is causing it to bulge

[10:33]

out so when we look inside the ear with

[10:37]

an otoscope we can see the tympanic

[10:39]

membrane or the eardrum bulging out and

[10:42]

that is a sign of acute otitis media

[10:45]

another complication is sinusitis so

[10:48]

sinusitis is itis is inflammation and

[10:52]

sinus is our sinuses so it's an

[10:55]

inflammation of the sinuses so can be

[10:57]

the frontal or maxillary sinuses or your

[11:00]

ethmoid or sphenoid sinuses can

[11:03]

inflamed and this can cause issues as

[11:06]

well you can also see bronchitis as a

[11:08]

complication so inflation of the

[11:11]

bronchioles and our lungs can also get

[11:13]

pneumonia

[11:14]

so the mone is not part of the common

[11:16]

cold but it can be a complication of a

[11:18]

common cold so you can get a secondary

[11:21]

bacterial infection or a secondary

[11:23]

pneumonia in individuals with asthma or

[11:27]

COPD which is chronic obstructive

[11:30]

pulmonary disease they are more at risk

[11:32]

because being infected with a virus or a

[11:36]

bacterial infection can lead to an

[11:38]

exacerbation of these underlying

[11:40]

conditions so they can get an

[11:41]

exacerbation of asthma or COPD so they

[11:44]

have worsening wheezing and worsening

[11:46]

shortness of breath these are the

[11:48]

complications that we can see with a

[11:50]

common cold with the common cold

[11:53]

symptoms usually are worst for the first

[11:57]

1 to 3 days then they subside after

[11:59]

about one week so it takes about 7 to 10

[12:02]

days for the common cold to eventually

[12:05]

subside and even after it subsides we

[12:09]

can see a post infectious cough which

[12:12]

can occur for weeks again it could be

[12:14]

due to a post nasal drip we can have a

[12:17]

prolonged post nasal drip after having

[12:20]

the common cold and that post nasal drip

[12:22]

can continue to drip in the back of your

[12:25]

throat you can often feel it and it can

[12:28]

drip into your lower Airways causing a

[12:30]

cough so sometimes you feel like you

[12:32]

have to clear your throat or you feel a

[12:34]

little irritation you feel like you have

[12:35]

to cough that can last for weeks so how

[12:37]

do we make the diagnosis and how do we

[12:39]

treat the common cold diagnosis of the

[12:41]

common cold is a clinical diagnosis we

[12:44]

see a stuffy nose we see a runny nose

[12:46]

with clear nasal discharge this is very

[12:48]

very common it's a common cool treatment

[12:52]

is supportive this is a viral infection

[12:54]

a lot of times it is self limited it

[12:57]

only lasts for seven to ten days you

[12:59]

want to look for some of those other

[13:01]

complications like the cutit itis media

[13:03]

and pneumonia other complications that

[13:07]

you can treat with antibiotics a lot of

[13:09]

times they are due to a secondary

[13:10]

bacterial infection but oftentimes this

[13:12]

is a supportive treatment for the common

[13:14]

cold you just want to

[13:16]

treat their symptoms that they are

[13:18]

having so again it's symptom control

[13:20]

fluids rest in warm salt water gargling

[13:24]

you could use decongestants to help with

[13:28]

any congestion issues that you have and

[13:31]

for those individuals who have a lot of

[13:33]

post nasal drip causing a lot of coffee

[13:35]

and a lot of issues at night with cough

[13:37]

you can use cough suppressants in for

[13:40]

any other aches or pains you can use

[13:43]

acetaminophen or Tylenol how can we try

[13:45]

to prevent getting the common cold in

[13:47]

the first place so prevention is all

[13:50]

about the risk factors we talked about

[13:52]

earlier we want to make sure we wash our

[13:54]

hands we want to avoid touching our face

[13:56]

with our hands we want to try to be as

[14:00]

clean as possible we want to try to

[14:01]

sterilize any fomites in the environment

[14:04]

that may be carrying the virus stress

[14:07]

relief so we talked about psychological

[14:09]

stress can increase your risk for

[14:11]

getting the common cold so you want to

[14:12]

have stress relief you want to quit

[14:14]

smoking smoking increases your risk of

[14:16]

getting the common cold and you want to

[14:19]

eat healthy and stay active and try to

[14:23]

get proper sleep so again wash your

[14:25]

hands with soap and water for at least

[14:28]

20 seconds you can use hand sanitizer

[14:30]

avoid touching your face because a lot

[14:33]

of times the fires can get in through

[14:35]

your mucous membranes

[14:36]

you want to be as clean as possible try

[14:38]

to sterilize any objects that it might

[14:41]

have been contaminated with a virus

[14:43]

stress relief quit smoking eat healthy

[14:46]

stay active and proper sleep so if you

[14:49]

want to learn more about other

[14:50]

infectious diseases please check out my

[14:51]

infectious disease playlist and if you

[14:53]

haven't already please consider liking

[14:54]

subscribing and clicking the

[14:55]

notification file help support the

[14:56]

channel and say up-to-date on future

[14:57]

lessons and as always continue to live

[14:59]

laugh and learn and I hope to see you

[15:01]

next time

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