Cough Flashcards
1
Q
3 most common causes of cough
A
Post-nasal drip
Asthma
GERD
2
Q
Post-nasal drip
A
postnasal drainage, throat clearning, nasal discharge, oropharyngeal clobblestonning, mucus
Tx - antihistamines/decongestants
3
Q
Asthma
A
Wheezing
Dx - methacholine challenge - 100% negative predictive value
4
Q
GERD
A
24 hour esophageal pH monitoring - most sensitive and specific test Ambulatory 24 hr esophageal pH monitoring- when pts do not respond to anti-acid therapy, or diagnosis other than GERD Antireflux surgery (fundoplication) - pts who do not respond to therapy and have documented positive esophageal pH monitoring
5
Q
Acei
A
cough is due to ace-i when drug is discontinued and cough disappears
