Cough history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} {{AMA}} | |||
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==Overview== | |||
Making a list of differential diagnosis when a patient presents with a cough can be challenging; however, the clinician should take a detailed cough history. To do this successfully, the clinician must ask himself the following: | |||
*How to classify the [[cough]] based on the duration of symptoms. | |||
*What are some of the additional questions to as about the cough. | |||
*What are the [[red flags]] in this patient. | |||
==Cough History== | |||
A detailed cough history should cover the following: | |||
*Onset of symptoms. | |||
*Dry vs Productive cough.If productive,sputum content,color,amount etc. | |||
*Duration. | |||
*Exacerbating/relieving factors. | |||
*Previous episodes. | |||
*Frequency. | |||
*Drug use eg:[[angiotensin-converting enzyme inhibitors|ACEIs]] | |||
===Associated symptoms=== | |||
*[[Fever]]:If a [[fever]] is present the clinician should consider the cough to be [[infectious]] or [[neoplastic]] in origin. | |||
*[[Chills]] and [[Rigor]]: while chills are non specific signs,rigors could suggest [[bacteremia]] or [[viremia]]. | |||
*[[Weight loss]]: This is a red flag and it could suggest an underlining [[malignancy]] or ]]infection]] eg [[Tuberculosis]]. | |||
*[[wheezing]]: The presence of wheezing could suggest [[bronchial asthma]]. | |||
*[[Associated Hemoptysis]]. | |||
*[[Post nasal dripping]]: Postnasal drip is a prevalent cause of cough. | |||
*[[Allergy history]]: Patients with seasonal allergies are prone to coughing. | |||
*[[Smoking history]]: A detailed smoking history should be taken. | |||
*[[Environmental or Occupational exposure to air pollutants]]. | |||
<ref name="pmidPMID: 29630273">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=PMID: 29630273 | doi= | pmc= | url= }} </ref><ref name="pmidPMID: 30729946">{{cite journal| author=Ojuawo OB, Aladesanmi AO, Opeyemi CM, Desalu OO, Fawibe AE, Salami AK| title=Profile of patients with chronic obstructive pulmonary disease in Ilorin who were never-smokers. | journal=Niger J Clin Pract | year= 2019 | volume= 22 | issue= 2 | pages= 221-226 | pmid=PMID: 30729946 | doi=10.4103/njcp.njcp_344_18 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30729946 }} </ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Reflexes]] | |||
[[Category:Abnormal respiration]] | |||
Latest revision as of 01:41, 1 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abiodun Akanmode,M.D.[2]
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Overview
Making a list of differential diagnosis when a patient presents with a cough can be challenging; however, the clinician should take a detailed cough history. To do this successfully, the clinician must ask himself the following:
- How to classify the cough based on the duration of symptoms.
- What are some of the additional questions to as about the cough.
- What are the red flags in this patient.
Cough History
A detailed cough history should cover the following:
- Onset of symptoms.
- Dry vs Productive cough.If productive,sputum content,color,amount etc.
- Duration.
- Exacerbating/relieving factors.
- Previous episodes.
- Frequency.
- Drug use eg:ACEIs
Associated symptoms
- Fever:If a fever is present the clinician should consider the cough to be infectious or neoplastic in origin.
- Chills and Rigor: while chills are non specific signs,rigors could suggest bacteremia or viremia.
- Weight loss: This is a red flag and it could suggest an underlining malignancy or ]]infection]] eg Tuberculosis.
- wheezing: The presence of wheezing could suggest bronchial asthma.
- Associated Hemoptysis.
- Post nasal dripping: Postnasal drip is a prevalent cause of cough.
- Allergy history: Patients with seasonal allergies are prone to coughing.
- Smoking history: A detailed smoking history should be taken.
- Environmental or Occupational exposure to air pollutants.
References
- ↑ "StatPearls". 2020. PMID 29630273 PMID: 29630273 Check
|pmid=value (help). - ↑ Ojuawo OB, Aladesanmi AO, Opeyemi CM, Desalu OO, Fawibe AE, Salami AK (2019). "Profile of patients with chronic obstructive pulmonary disease in Ilorin who were never-smokers". Niger J Clin Pract. 22 (2): 221–226. doi:10.4103/njcp.njcp_344_18. PMID 30729946 PMID: 30729946 Check
|pmid=value (help).