By vgreene, 23 September, 2020 Consider COVID-19. ✓CXR, ✓spirometry1,2 (3-6+ yo).1 If wet cough w/o other specific pointers1 from hx/exam/test, cough sound/type, triggers:2 tx as protracted bacterial bronchitis.1,2 If other pointers present: pedi pulm referral &/or DDx ev
By vgreene, 23 September, 2020 Don’t use OTC cough/cold meds.1,2,8 Not recommended for young children, per AAP,3 FDA;4 of no proven benefit in children
By vgreene, 23 September, 2020 Pertussis: Classic whoop, posttussive emesis may be absent in older pts. If clinical picture strongly suggestive, strongly consider tx while awaiting test results, per CDC7
By vgreene, 23 September, 2020 Asthma: wheeze assoc w/ cough. NL spirometry doesn’t r/o asthma.1 However, bronchodilators not effective in nonasthmatic pts6
By vgreene, 23 September, 2020 Allergic rhinitis: sneezing, nasal congestion, rhinorrhea, itchy nose/throat/palate, postnasal drip, throat clearing, cough, malaise, fatigue5
By vgreene, 23 September, 2020 Consider COVID 19 wet or dry cough flu allergic rhinitis asthma based on s sx Don t use OTC cough meds 1 2 for young children per AAP 3 FDA4
