Cough Flashcards

1
Q

What is a cough?

A

a mechanical reflex that occurs when cough receptors are activated by a stimulus leading to deep inspiration. The glottis then closes and there is a msucle contraction against it, leading to a release of air from the lungs accompanied by a characteristic sound –> helps to clear the airways of secretions and foreign particles

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2
Q

What is the difference between acute and chronic coughs?

A

Acute –> up to 3 weeks

Chronic –> present for more than 8 weeks

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3
Q

What is acute cough commonly caused by?

A
  • viral infections –> common cold, bronchitis or bacterial pneumonia
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4
Q

What is chronic cough commonly caused by?

A
  • asthma,
  • post-nasal drip
  • gastro-oesophageal disease
    etc.
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5
Q

What is the difference between a dry and a productive cough?

A

A productive cough is one that is accompanied by sputum.

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6
Q

What is sputum?

A

Material composed of phlegm or mucus that may also contain blood, pus or bacteria.

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7
Q

What is important to know about Sputum?

A
  1. colour
  2. volume
  3. thickness
  4. odour
  5. blood? pus? etc.
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8
Q

What is haemoptysis?

A

A person coughing up blood, whether it is in sputum or not.

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9
Q

What are important cardinal features associated with cough?

A
  • Quality (cough) and then of sputum
  • Severity
  • Time course
  • Context
  • R/A Factors
  • Associated features
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10
Q

What are some considerations for a cough pertaining to Quality?

A
  • barking/hacking/whooping etc.

- dry/productive

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11
Q

What are some considerations for a cough pertainig to severity?

A
  • frequency

- effect of ADLs

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12
Q

What are some considerations for a cough pertaining to time course?

A
  • onset
  • duration
  • changes over time
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13
Q

What are some considerations for a cough pertaining to context?

A
  • what caused it?

- occupation

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14
Q

What are some considerations for a cough pertaining to relieving factors?

A
  • treatments tried and effect
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15
Q

What are some considerations for a cough pertaining to aggravating factors/

A
  • occupational?

- worse at night?

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16
Q

What are some considerations for a cough pertaining to associated features?

A
  • dyspnoea
  • wheeze
  • fever
  • haemoptysis
  • smoking
17
Q

What are some considerations for a cough pertaining to quality of sputum?

A

COLOUR chronic bronchitis

  • yellow/green –> pulmonary infection/bronchiectasis
  • red –> haemoptysis
  • black –> smoke, coal dust
  • frothy/white/pink –> pulmonary oedema
18
Q

What are rigors?

A

Shakes…different to shivering

19
Q

What are night sweats?

A
  • You wake up in the middle of the night drenched.

- Characteristic of TB, malignancy or perhaps endocarditis

20
Q

What are some causes of haemoptysis?

A
  • bronchitis, inflammation of the bronchi
  • lung cancer
  • pneumonia
  • pulmonary embolism
  • TB
21
Q

What is Haemotemesis?

A

Vommiting up blood

22
Q

How do you differentiate between haemoptysis and haemotemesis?

A

Prodrome?
Sputum?
Colour of blood? (red and frothy for haemoptysis; darker for haemotemesis)

23
Q

What are some key features of pneumonia?

A

Rust coloured sputum

24
Q

What are some key features of Whooping cough?

A
  • caused by borditella pertussis
  • coughing repeatedly and then vommiting
  • whoop on inspiration
25
Q

What are some key features of croup?

A
  • seal bark of a cough
  • semi-obstruction of the lung due to inflammation of larynx
  • use of accessory muscles
26
Q

What is the difference between a wheeze and a stridor?

A

Wheeze –> LRT & expiration

Stridor –> URT & Inspiration