Cough resident survival guide: Difference between revisions

Cough; Resident Survival Guide
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

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Revision as of 03:54, 7 August 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Sara Haddadi, M.D.[2]

Overview

Causes

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of cough according to the American College of Chest Physicians guidelines.^[1]

Acute Cough

History and physical

examination, ask about environmental and occupational factors and travel exposures

± investigations

Life-threatening diagnosis

Non-life-threatening diagnosis

Pneumonia, severe

exacerbation of asthma or COPD, PE, heart failure, other serious

disease

Infections

Exacerbation of pre-existing condition

LRTI

URTI

Asthma

Bronchiectasis

UACS

COPD

Evaluate and treat first

Acute Bronchitis

Pertussis

Consider TB in

endemic areas

or high risk

Subacute Cough

{{{ History and Physical Exam Ask about red flags,

environmental and occupational factors,

travel exposures }}}

Postinfectious or life-threatening diagnosis

New onset or exacerbation of pre-existing condition

Not postinfectious

Pneumonia, severe exacerbation of asthma or COPD, PE, heart failure, other serious disease

A01

B01

D01

D02

D03

D04

D05

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

The content in this section is in bullet points.

Don'ts

The content in this section is in bullet points.

References

↑ Irwin RS, French CL, Chang AB, Altman KW, CHEST Expert Cough Panel* (2018). "Classification of Cough as a Symptom in Adults and Management Algorithms: CHEST Guideline and Expert Panel Report". Chest. 153 (1): 196–209. doi:10.1016/j.chest.2017.10.016. PMC 6689094 Check |pmc= value (help). PMID 29080708.

[pmid29080708-1] Irwin RS, French CL, Chang AB, Altman KW, CHEST Expert Cough Panel* (2018). "Classification of Cough as a Symptom in Adults and Management Algorithms: CHEST Guideline and Expert Panel Report". Chest. 153 (1): 196–209. doi:10.1016/j.chest.2017.10.016. PMC 6689094 Check |pmc= value (help). PMID 29080708.

[1]

@@ Line 102: / Line 102: @@
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | '''Subacute Cough''' | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |'''Subacute Cough'''='''Subacute Cough'''}}
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | }}
-{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | History and Physical Exam Ask about red flags ,
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | History and Physical Exam Ask about red flags,
 environmental and
 occupational factors,
@@ Line 109: / Line 109: @@
 environmental and
 occupational factors,
-travel exposures= }}
+travel exposures=History and Physical Exam Ask about red flags,
+environmental and
+occupational factors,
+travel exposures }}
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
 {{familytree | | | | | | | |,|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|.| | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
-{{familytree | | | | | | | C01 | | | | | | | | | | | | | | | | | | | | | New onset or exacerbation of pre-existing condition| | | | | C03 |C01=C01|New onset or exacerbation of pre-existing condition=New onset or exacerbation of pre-existing condition|C03=C03}}
+{{familytree | | | | | | |Postinfectious or life-threatening diagnosis
+| | | | | | | | | | | | | | | | | | | | | New onset or exacerbation of pre-existing condition| | | | | Not postinfectious |Postinfectious or life-threatening diagnosis
+=Postinfectious or life-threatening diagnosis
+|New onset or exacerbation of pre-existing condition=New onset or exacerbation of pre-existing condition|Not postinfectious=Not postinfectious}}
 {{familytree | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | |!| | }}
 {{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | | | | | | | | | | | | | | |!| | | | | | | | }}
-{{familytree | |   X   | | | | | | | |!| | | | | | | | | | | | | | | | | B01 | | | | | |X=X|Y=Y|B01=B01}}
+{{familytree | | |Pneumonia, severe exacerbation of asthma or COPD, PE, heart failure, other serious disease
-{{familytree | | | | | | | | | | | |!| | |,|-| A01 | | | | | | | | | | | |!| | | | | | | |A01= | }}
+   | | | | | | |!| | | | | | | | | | | | | | | | | | |!| | | | | | |Pneumonia, severe exacerbation of asthma or COPD, PE, heart failure, other serious disease
-{{familytree | | | | | | | | | | | |!| | |!| | | | | | | |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.}}}}
+=Pneumonia, severe exacerbation of asthma or COPD, PE, heart failure, other serious disease
-{{familytree | | | | | | | | | | | |!| | |)|-| B01 | | | |!| | | |!| | | |!| | | |!| | | |!| |B01= | }}
+|}}
+{{familytree | | | | | | | | | | | |!| | |,|-| A01 | | | | | | | | | | | |!| | | | | | | |A01=A01}}
+{{familytree | | | | | | | | | | | |!| | |!| | | | | | | |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.}}
+{{familytree | | | | | | | | | | | |!| | |)|-| B01 | | | |!| | | |!| | | |!| | | |!| | | |!| |B01=B01}}
 {{familytree | | | | | | | | | | | |!| | |!| | | | | | | D01 | | D02 | | D03 | | D04 | | D05 |D01=D01|D02=D02|D03=D03|D04=D04|D05=D05}}
 {{familytree | | | | | | | | | | | C01 |-|+|-| C02 | | | | | | | | | | | |!| | | |C01= |C02= }}
-{{familytree | | | | | | | | | | | | | | |!| | | | | | | | | | | | |,|-|-|^|-|-|.}} | | | | | }}
+{{familytree | | | | | | | | | | | | | | |!| | | | | | | | | | | | |,|-|-|^|-|-|.| | | |}}
-{{familytree | | | | | | | | | | | | | | |)|-| D01 | | | | | | | |  E01 | | | | E02 |D01= |E01=E01|E02=E02}}
+{{familytree | | | | | | | | | | | | | | |)|-| D01 | | | | | | | |  E01 | | | | E02| | | |D01= |E01=|E02=}}
 {{familytree | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | }}
-{{familytree | | | | | | | | | | | | | | |`|-| E01 | | | | |E01= |E02= }}
+{{familytree | | | | | | | | | | | | | | |`|-| E01 | | | | |E01= }}
 {{familytree/end}}
 ==Treatment==