By vgreene, 23 September, 2020 If dry cough persists, pedi pulm referral &/or eval for underlying dz DDx1 (bronchiectasis, TB/mycosis/other infxn, immunodeficiency, aspiration, interstitial lung dz, abnl airway, cardiac dz, habit/tic, etc)1
By vgreene, 23 September, 2020 Consider COVID 19 x2713 CXR x2713 spirometry1 2 3 6 yo 1 factor asthma s sx other pointers from hx exam cough sound type 1 triggers 2 Most children w isolated cough incl nocturnal don t have asthma x2713 Tobacco smoke pollutants child activity level paren
By vgreene, 23 September, 2020 If other specific-cough pointers1 beyond wet cough, eval & tx specific dx (eg, meds for asthma, airway clearance technique for bronchiectasis,3 etc):
By vgreene, 23 September, 2020 Don’t use OTC cough meds1,2 for young children, per AAP,8 FDA;9 no proven benefit in pt
By vgreene, 23 September, 2020 Don’t empirically tx UACS/postnasal drip from sinus dz (controversial pedi cause), GERD (rare pedi cause6), or asthma unless clinical features beyond cough present.1 Set time limit on tx trials.1 Post-acute viral bronchiolitis cough: Don’t use asthma drug
By vgreene, 23 September, 2020 Refer to pedi pulm &/or eval DDx1 (atypical/recurrent infxn, TB, panbronchiolitis, bronchiectasis/ suppurative lung dz, recurrent aspiration, etc)1
By vgreene, 23 September, 2020 Don’t routinely allergy test w/o s/sx allergies;2 however, may help if dx uncertain or for allergy sx mgmt, per AAO5
By vgreene, 23 September, 2020 Test for pertussis4 if suspected (posttussive vomit, paroxysms, inspiratory whoop)1
