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/post-nasal 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 dru
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 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
By vgreene, 23 September, 2020 If wet cough persists after 4wk of abx: Refer to pedi pulm &/or eval2 (eg, bronch) for DDx1 (atypical/recurrent infxn, TB, panbronchiolitis, CF/bronchiectasis,3 recurrent aspiration, etc)1
By vgreene, 23 September, 2020 If wet cough not resolving after 2wks: Repeat another 2-wk course & re-eval in 2wk1
By vgreene, 23 September, 2020 Treat as protracted bacterial bronchitis:2 2wk of abx; re-eval in 2wk until resolved1
