Chronic Cough Flashcards
Follow up questions to ask a patient with chronic cough
- when did it start
- what are you coughing up
- how does the sputum look
- when do you cough
- associated symptoms like weight loss, fevers, SOB
- exposures
- medications e.g. ACE-I
what are you looking for on examination
- JACCOLD
- RR and O2 sats
- chest exam
- wheezes and creps
what investigations should be done for chronic cough
> Sputum if productive: GXP, MC&S, cell count
CXR
CT lung
peak flow
bronchoscopy
define a chronic cough
More than 8 weeks
causes of chronic cough
Smoking
Upper airway cough syndrome
Asthma
GORD/GERD
COPD
TB
Lung Cancer
various ‘canaries’
what to do if constitutional symptoms
Investigate - otherwise treat syndromic
benign causes of chronic cough
- upper airway cough syndrome
- asthma
- GE reflux
- meds
Rx for post-nasal drip
> anti-histamines
nasal intranasal corticosteroids
asthma = inhaled
Rx for GERD
PPIs
sinister causes
Tuberculosis
Lung cancer
Foreign body
Interstitial pulmonary fibrosis
Sarcoidosis
Bronchiectasis
when is HRCT be done?
ILD and lung CA
when is bronchoscopy done?
exclude FB, end-bronchial disease
