cough Flashcards
1
Q
common causes of persistent cough
A
upper airway cough syndrome (postnasal drip) asthma GERD vocal cord dysfxn meds (ACE inhib) tobacco related post infectious COPD (esp chronic bronchitis type) non asthmatic eosinphilic bronchitis
2
Q
comorbid conditions of asthma that may require tx for better control of asthma
A
allergies sinusitis obstructive sleep apnea obesity stress, depression
3
Q
symptoms of acute sinusitis
A
headache facial pain fever toothache failure to respond to decongestants initial improvement after viral URI and then a worsening of symptoms
4
Q
chronic sinusitis symptoms
A
mucopurulent drainage nasal obstruction/congestion facial pain pressure or fullness decreased sense of smell
must have two of above
5
Q
nose exam in pt with allergic rhinitis
A
pallor of nasal mucosa
clear, watery nasal drainage
6
Q
causes of wheezing
A
asthma COPD CHF foreign body aspiration persistent bronchitis upper airway cough syndrome vocal cord dysfxn pulmonary embolism
7
Q
what is diagnostic for asthma?
A
spirometry increase in FEV1 by 12% or increase in predicted FEV1 by 10%
8
Q
most effective tx for allergic rhinitis
A
nasal corticosteroids
9
Q
when is pneumococcal 23 valent vaccine given?
A
19-64 with: chronic heart disease chronic lung dis alcoholism chronic liver dis diabetes
10
Q
management of chronic sinusitis
A
nasal corticosteroids most effective,
and reduce allergies
saline irrigation
