Approach to Cough Flashcards
Duration of acute cough:
<3 weeks
Duration of subacute cough:
3-8 weeks
Duration of chronic cough:
> 8 weeks
Causes of acute cough:
URTI
Aspiration
Inhalation of noxious substances
Causes of sub-acute cough:
Post-viral tussive syndrome
Causes of chronic cough:
Upper Airway Cough Syndrome
Post-Nasal Drip
Asthma
PTB
GERD
Work up for Upper Airway Cough Syndrome secondary to Rhinosinus diseases
Sinus imaging
Nasopharyngoscopy
Allergy evaluation
Empiric treatment
Work up for Asthma
Spirometry
Bronchodilator reversibility
Bronchoprovocation challenge
Allergy evaluation
Empiric treatment
Work up for PTB
Sputum AFB or TB GeneXpert
***Avoid empiric HRZE
Work up for GERD
Physiologic testing
Initial treatment for acid suppression
Initial treatment for UACS
Anti-Histamine
Decongestant
Initial treatment for Asthma
ICS
Bronchodilator
Leukotriene antagonists
Trigger avoidance
Initial treatment for PTB
HRZE
Initial treatment for UACS
PPI
Lifestyle modification
