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| [[File:Siren.gif|30px|link=Cough resident survival guide]]|| <br> || <br>
| [[Cough resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{Infobox_Disease |
  Name        = Cough |
  ICD10      = {{ICD10|R|05||r|00}} |
  ICD9        = {{ICD9|786.2}} |
}}
{{Cough}}
{{Cough}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}} {{MUT}}
 
{{CMG}}; {{AE}} {{CZ}} {{MUT}} {{AMA}}


{{SK}} Tussis
{{SK}} Tussis
==Cause==
== [[Cough overview|Overview]] ==
 
== [[Cough classification|Classification]] ==
 
== [[Cough historical perspective|Historical Perspective]]==


==Complete List of Differential Diagnoses Sorted by Nonproductive vs Productive Nature of Cough==
== [[Cough pathophysiology|Pathophysiology]] ==
===Productive Cough===
* [[Postnasal drip]]
* [[Tuberculosis]]
* [[COPD]]
* [[Lung cancer]]
* [[Smoker's cough]]
* [[Asthma]] with secondary infection
* [[Pneumonia]]
* [[Bronchitis]]


==Complete Differential Diagnosis of Cough Sorted by Frequency of Causes==
== [[Cough causes|Causes]] ==


In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
== [[Cough differential diagnosis|Differentiating Cough from other Diseases]] ==


=== Most Common Causes ===
== [[Cough epidemiology and demographics|Epidemiology and Demographics]] ==


== [[Cough risk factors|Risk Factors]] ==


=== Other Causes ===
== [[Cough natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==


===Complete Differential Diagnosis of the Causes of Cough===
== Diagnosis ==
(By organ system)


== Complications ==
[[Cough history and symptoms|History and Symptoms]] | [[Cough physical examination|Physical Examination]] | [[Cough laboratory findings|Laboratory Findings]] | [[Cough electrocardiogram|Electrocardiogram]] | [[Cough chest x ray|Chest X Ray]] | [[Cough CT|CT]] | [[Cough MRI|MRI]] | [[Cough echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Cough other imaging findings|Other Imaging Findings]] | [[Cough other diagnostic studies|Other Diagnostic Studies]]
The complications of coughing can be classified as either [[Acute (medical)|acute]] or [[Chronic (medicine)|chronic]]. Acute complications include ''cough syncope'' ([[fainting]] spells due to decreased blood flow to the brain when coughs are prolonged and forceful), [[insomnia]], cough-induced [[vomiting]], rupture of [[bleb]]s causing [[spontaneous pneumothorax]], [[subconjunctival hemorrhage]] or "[[red eye (medicine)|red eye]]", coughing [[defecation]] and in women with a [[prolapse]]d [[uterus]], cough [[urination]].  Chronic complications are common and include abdominal or pelvic [[hernia]]s, fatigue [[fracture]]s of lower ribs and [[Tietze's syndrome|costochondritis]].


== Treatment ==
== Treatment ==
Coughs can be treated with [[cough medicine]]s. Dry coughs are treated with cough suppressants (antitussives) that suppress the body's urge to cough, while productive coughs (coughs that produce [[phlegm]]) are treated with expectorants that loosen [[mucus]] from the [[respiratory tract]].  Centrally acting cough suppressants, such as [[codeine]] and [[dextromethorphan]] reduce the urge to cough by inhibiting the response of the sensory endings by [[depolarization]] of the vagus nerve.  A recent study indicates that, because of the presence of [[theobromine]] in chocolate, 50 [[gram]]s of dark [[chocolate]] may be an effective treatment for a persistent cough.
Gargling with salt and warm water can also be helpful by reducing phlegm.


==During injections==
[[Cough medical therapy|Medical Therapy]] | [[Cough surgery|Surgery]] | [[Cough primary prevention|Prevention]] | [[Cough future or investigational therapies|Future or Investigational Therapies]] | [[Cough cost-effectiveness of therapy | Cost Effectiveness of Therapy]]
Coughing during an injection can lessen the pain of the needle stick caused by a sudden, temporary rise in pressure in the chest and spinal canal, inhibiting the pain-conducting structures of the spinal cord.<ref>{{cite journal | pmid = 14742367  | title = Reducing venipuncture pain by a cough trick: a randomized crossover volunteer study | last = Usichenko | first = TI | coauthors = Pavlovic D, Foellner S & Wendt M. | year = 2004 | journal = Anesthesia and Analgesia | pages = 952-3 | volume = 99 | issue = 3 | accessdate = 2007-07-16 }}</ref>


== See also ==
==Case Studies==
[[Cough case study one|Case #1]]
 
== Related Chapter ==
*[[Whooping cough]]
*[[Whooping cough]]
*[[Kennel cough]]
*[[Kennel cough]]
*[[Cough medicine]]
*[[Cough medicine]]
==References==
{{reflist|2}}
==Additional Resource==
* {{cite journal | author = McCool F | title = Global physiology and pathophysiology of cough: ACCP evidence-based clinical practice guidelines. | journal = Chest | volume = 129 | issue = 1 Suppl | pages = 48S-53S | year = 2006 | id = PMID 16428691}}''[http://www.chestjournal.org/cgi/content/full/129/1_suppl/48S Full text]''
== External links ==
*[http://familydoctor.org/handouts/237.html FamilyDoctor.org &ndash; Chronic cough: causes and cures]
*[http://www.buteykoscotland.co.uk/healthtips1.htm Coughing]:Quick tips to help stop a coughing fit.


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[[ar:سعال]]
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[[es:Tos]]
[[eu:Eztul]]
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[[he:שיעול]]
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[[ms:Batuk]]
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[[tr:Öksürük]]


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Latest revision as of 01:29, 1 October 2020



Resident
Survival
Guide

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Cough Microchapters

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Overview

Classification

Historical perspective

Pathophysiology

Causes

Differentiating Cough from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cough On the Web

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Risk calculators and risk factors for Cough

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2] M.Umer Tariq [3] Abiodun Akanmode,M.D.[4]

Synonyms and keywords: Tussis

Overview

Classification

Historical Perspective

Pathophysiology

Causes

Differentiating Cough from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Chest X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Prevention | Future or Investigational Therapies | Cost Effectiveness of Therapy

Case Studies

Case #1

Related Chapter

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