Cough Flashcards

1
Q

What are the three phases of coughing?

A

Inspiratory phase
Compressive phase
Expiratory phase

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2
Q

What are some reasons coughing might be impaired?

A
Affected afferent/efferent nerves
Altered states of consciousness
Tracheostomy tube
Laryngeal/upper-airway disorders
Neuromuscular diseases
Being supine
Restrictive and obstructive lung diseases
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3
Q

Some consequences of impaired cough include ____________.

A

Aspiration

Airway obstruction

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4
Q

If a patient has an acute cough, first decide ___________.

A

if it is life-threatening or not

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5
Q

In a non-life threatening cough that is an exacerbation of a pre-existing condition, try to rule out ___________.

A

bacterial infection

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6
Q

What is the generic name for Claritin?

A

Loratadine

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7
Q

Some think that gastric acid in the esophagus can stimulate cough without ____________.

A

aspiration

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8
Q

Neuropathic coughs do not have ___________.

A

criteria of the other sources of cough

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9
Q

A normal sinus exam rules out _____________.

A

upper-airway cough syndrome

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10
Q

The pressure from a cough can affect _________.

A

nearly every organ and disrupt surgical healing

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11
Q

Subacute coughs are divided into __________.

A

postinfectious and non-postinfectious

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12
Q

Chronic coughs are those that last longer than ________.

A

eight weeks (four weeks in kids)

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13
Q

What are the top five causes of chronic cough in a patient with a normal chest x-ray?

A
Asthma
Upper-airway cough syndrome (post-nasal drip)
GERD
Non-asthmatic eosinophilic bronchitis
Neuropathic
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14
Q

Signs of post-nasal drip (which may be absent) include __________.

A

inflamed nasal mucosa and secretions in oropharnx

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15
Q

How is UACS/PND treated?

A

With second-generation anti-histamines and inhaled corticosteroids

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16
Q

Asthma is usually _________ wheeze.

A

expiratory

17
Q

Cough is present in __________ asthma patients.

A

less than half of

18
Q

The best test for GERD is ___________.

A

esophageal pH testing

19
Q

Those with non-asthmatic eosinophilic bronchitis have _________.

A

normal methacholine and spirometry, but sputum eosinophils greater than 3%

20
Q

NAEB is treated with __________.

A

inhaled corticosteroid

21
Q

Neuropathic coughs are treated with ___________.

A

amitryptyline and gabapentin