Cough Flashcards

1
Q

Causes of acute cough

A

URTI
Post nasal drip
COPDE
Asthma
PNA
Sinusitis
PE
PTX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Causes of chronic cough

A

Bronchitis
Post nasal drip
Post infectious
GERD
FB
Meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Symptomatic treatment of cough (wet + dry)

A

Wet = guaifenesin 200-400mg PO Q4H
Dry = dextromethorphan 15-30mg PO Q4H

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Causes of acute cough in peds

A

URTI
Asthma
Croup
Pertussis
FB
GERD
PNA
Bacterial tracheitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of chronic cough of peds

A

Bronchitis
Post nasal drip
Post infectious
GERD
Asthma
Chronic bronchitis
Primary ciliary dyskinesia
Interstitial lung dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sx of bacterial tracheitis

A

Croup like barking cough
Fever
Poor response to epi
Hoarseness
Dysphonia
Resp distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ix for bacterial tracheitis

A

AP XR: ragged edge, membrane spanning trachea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Rx for bacterial tracheitis

A

Cefotaxime or ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Differences between asthma and COPD

A

Asthma: onset <20 y/o, variation in sx, worse at night, triggers, lung function normal between episodes, fam hx atopy, seasonal, not worsening over time, responds to dilators, normal lungs on CXR. FEV1 reversibility >12%
COPD: >40 y/o, persistent despite tx, limited relief w/ dilators, daily sx, chronic cough w/o triggers, exposure, hyperinflation. FEV1/FVC <70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

covid rx

A

Remdesivir: quicker recovery in hospital
Steroids: used in severe cases
Tocilizumab: limited evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is MIS-C + what is the sx + rx

A

Rare complication of COVID - multisystem inflammatory syndrome
Sx: hyperinflammation, persistent fever, multisystem organ dysfunction, abdo pain, vomiting, diarrhea, conjunctival hyperemia
Management: high dose IVIG, glucocorticoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Bronchiolitis - cause, RF, sx, Ix, management

A

LRTI d/t RSV
RF: kids <2, Nov-Jan, daycare, exposure to smoke
Sx: URTI prodrome, wheezy cough, crackles, tachypnea
Ix: not indicated
Management: O2 if sats <90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Croup - cause, RF, sx, Ix + sign on XR, management

A

Caused by parainfluenza virus
RF: 6mo-3y/o, fall/ winter
Sx: prodrome of URTI, sx worse at night, hoarse barking cough, stridor
Steeple sign on CXR (subglottic tracheal narrowing)
Management:
Dexamethasone 0.6mg/kg PO x1 max 10mg
Nebulised epi in mod/ severe (5ml 1:1000 over 15 mins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

FB aspiration sx + ix

A

Sx: sudden onset resp sx, hx of choking, stridor or monophonic or unilateral wheeze
Ix: CXR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pertussis rx

A

erythromycin 1g/d BID-QID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

New name for postnasal drip

A

Upper airway cough syndrome