By vgreene, 2 October, 2020 Tx: don’t use abx,3,6 antivirals. If worsening & suspect complicating bacterial infxn on re-eval, consider abx6
By vgreene, 2 October, 2020 Don’t routinely test (CXR,2 spirometry, sputum micro, CRP, procalcitonin, etc) if immunocompetent.3,6 If cough persists/worsens, re-eval, ✓targeted tests (eg, CXR, sputum micro, PEF, CBC, CRP)6
By vgreene, 2 October, 2020 If hx obstructive airway dz: Consider asthma exac, COPD exac or acute exac chronic bronchitis. If hx bronchiectasis, consider acute exac, tx w/ airway clearance techniques, etc5
By vgreene, 2 October, 2020 If immunocompromise, ✓CXR. Consider TB, esp for HIV pts in high-prevalence areas, even if NL CXR4
By vgreene, 2 October, 2020 R/O pneumonia. Unlikely if all these absent: HR rate >100, RR >24, T >38°C, abnl chest exam2 (healthy immunocompetent pts
By vgreene, 2 October, 2020 Consider COVID-19 (wet or dry cough), flu in season, pertussis, TB. ✓hx/ex, incl triggers, environment, occupation, travel, ✓red flags1 (dyspnea, hemoptysis, etc), r/o life-threatening dz (pneumonia, etc), ✓impact on life.1 Sputum pur
By vgreene, 2 October, 2020 Cough in Adults & Adolescents ≥15 yo | ACCP/ACP/CDC, etc Guideline Synthesis
By vgreene, 2 October, 2020 Peer-reviewed & based on multiple guidelines/recommendations from specialty societies/government agencies
