cough Flashcards
TREATMENT
GUAIFENESIN
Questions to ask
Describe symptoms?
Nature of cough(sputum production)?
How long have you had the cough?
onset/timing? chronic or acute
how do you feel when you wake up? (asthma feels worse)
other symptoms? to rule out underlying medical condition (coughing blood)
Anything make the cough worse or better (allergies)?
(might be asthma which has triggers)
time it gets worse?
for asthma, croup it gets worse at night,
Previous history of presenting complain?
past medical history
drugs/otc,rx
Allergies? (asthma)
social history? smoking (COPD, or chronic bronchitis.)
family history? (asthma)
clinical features of acute bronchitis or viral?
symptoms look like a viral cough. can persist from 1-3weeks normally gotten from viral. self-limiting. wheezing.
yellowish or green sputum, may be clear, white, or even tinged with blood
clinical features of asthma?
coughing
wheezing
chest tightness
worse at night
provoked by triggers (allergens)
thick yellow mucoid
clinical features of pneumonia?
cough worsens at night. unwell fever >38 degrees headache malaise occurs during autumn and winter
stain red mucous.
copd or chronic bronchitis symptoms?
> 40 years
occupational pollutants
cough and sputum for most days lasts for more than 3 months breathlessness during exercise wheeze fast breathing
offensive foul smelling
croup symptoms?
1-3 year old kids cough coryzal symptoms noisy breathing worse at night hoarse cry/voice stridor barking cough