Cough resident survival guide

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

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

Overview

Causes

Common Causes

Allergic Rhinitis
Asthma
Bronchiectasis
Gastroesophageal Reflux Disease (GERD)
Post-nasal drip
Medications' side effect
- ACE inhibitors
Bronchitis
Laryngopharyngeal reflux
Respiratory tract infection
Lung cancer
Nonasthmatic eosinophilic bronchitis

Diagnosis

Shown below is an algorithm summarizing the evaluation of acute 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

Shown below is an alogrithm describing the evaluation of subacute and chronic cough in adults according to the American College of Chest Physicians guidelines.

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

Pertusis

COPD

UACS

Asthma

Bronchitis

GERD

Bronchiectasis

{{{ }}}

Postinfectious

TB

NAEB

AECB/COPD

Not postinfectious: Work up same as chronic cough

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]