Cough resident survival guide (pediatrics)

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

Synonyms and keywords:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

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

Chronic Cough >4 weeks

Characterize the symptoms
❑ Chronic wet/productive cough
❑ Chest pain
❑ History suggestive of inhaled foreign body
❑ Dyspnea
❑ Exertional dyspnea
❑ Hemoptysis
❑ Failure to thrive
❑ Choking
❑ Vomiting
❑ Cardiac anomaly
❑ Neurodevelopmental abnormalities
❑ Recurrent sinopulmonary infections
❑ Immunodeficiency
❑ Epidemiologic risk factors for exposure to TB

Examine the patient
❑ Respiratory distress
❑ Digital clubbing
❑ Chest wall deformity
❑ Auscultatory crackles

Order Chest X-ray or spirometry (if child is able to perform)

Wet Cough or Productive Cough with sputum

Dry Cough

Consider the diagnosis of Bacterial bronchitis

Consider the diagnosis of Asthma
❑ History of bilateral wheeze and exertional dyspnea
❑ Absence of other cough symptoms
❑ Absence of findings on lung examination
❑ Reversible obstructive defect or normal finding on spirometry (if performed)

Consider the diagnosis of Retained foreign body

Antibiotics for 2 to 4 weeks

Trial of Asthma therapies for 2 to 4 weeks

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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

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