Cough

Question 1

Cardio Causes

Answer 1

Left Ventricular Failure

Question 2

Resp Causes

- Infective

Answer 2

• URTI
• Bronchitis
• TB
• Pneumonia

Question 3

Resp Causes

- Acquired

Answer 3

• Asthma
• COPD
• Inhaled Foreign body
• PE
• Malignancy
• Pulmonary Fibrosis

Question 4

Resp Causes

- Congenital

Answer 4

• Bronchiectasis (CF, Kartageners, PCD)

- Cystic Fibrosis

Question 5

Gastro Causes

Answer 5

• GORD

- Throat Ca

Question 6

ENT Causes

Answer 6

• Rhinitis

- Post Nasal Drip

Question 7

MSK

Answer 7

Vasculitis

• Goodpastures (anti-GBM)
• GPA (cANCA)

Question 8

Other

Answer 8

ACE inhibitor
Smoking
Yellow Nail Syndrome

Question 9

Bedside

Answer 9

PEFR (diurnal in asthma)

ECG (LVH in CCF, sinus tachy PE)

Question 10

Sputum

Answer 10

MC&S
Acid fast bacilli
Cytology for Ca

Question 11

Bloods

Answer 11

FBC
UEs (SIADH with low Na2+, high Ca+ in lung ca)
ESR (vasculitis)

+ LFTs, CRP, Cultures if septic

Question 12

Imaging

Answer 12

CXR:
- CCF, infection, lung Ca, bronchiectasis, hyperinflation

High resolution CT
- Fibrosis, lung cancer

Question 13

Special Tests

Answer 13

Spirometry
- Obstructive/restrictive

Bronchoscopy
- Lung Ca, Bronchial lavage (TB)

Gastroscopy
- GORD (with alarm sx), oesophageal Ca

Question 14

Social Hx

Answer 14

Smoking
Alcohol 
Travel
Vaccination Hx 
Risk factors PE 
Occupation

Question 15

RED FLAGS

Answer 15

Weight loss, Night sweats
Haemoptysis
SOBOE, PND, orthopnoea

Question 16

Fam Hx

Answer 16

CVD disease
Autoimmune disease (vasculitis)
CF, PCD, Bronchiectasis
Thrombophilia

Question 17

Drug Hx

Answer 17

ACEi
- Recently started/increased dose

Fibrosis

• Nitrofurantoin
• Methotrexate,
• sulphasalazine,
• amiodarone
• Bleomycin

Question 18

Systems Review

Answer 18

• Kidneys/URTI vasculitis
• Dysphagia (oesophageal Ca)
• Chest pain, palpitations (CCF)