Flashcards in 7. Cough Deck (11)
What 5 questions should you ask about history of cough?
Constant or intermittent? Triggers?
Onset: Acute (<3 weeks) or chronic (>8 weeks)
Time of day?
Character? Wheezy/ Bovine/ Wet
What factors may trigger a cough?
Environment: smoking, occupation, pets
PMH: Asthma, GORD, HF
Travel: TB prevalence
Close contacts: contagious?
What 5 associated symptoms should you ask a person with a cough?
FLAWS: malignancy, TB
Chest pain/ pleuritic chest pain
Frequent throat clearing
How can you classify causes of cough?
What are 4 main causes of an acute dry cough?
Drug induced: ACE inhibitors
What are 3 main causes of a chronic dry cough?
What are 3 main causes of an acute productive cough?
What are 3 main causes of a chronic productive cough?
What signs are consistent with an infective cause of a cough?
Systemic features: fever, tachycardia
Tender cervical lymphadenopathy
Lungs: reduced chest expansion, abnormal breath sounds
What does the CURB 65 score determine? What does it consist of?
Severity of pneumonia
Confusion: AMTS ,<8
Resp rate: >30/ min
BP: <90 systolic +/or <60 diastolic
>65 years old