By vgreene, 18 November, 2016 Evaluate chronic cough w/ CXR + spirometry (if age >5-6 yo) (ACCP,1,2 BTS3). Definition of chronic varies between GLs2,4-6
By vgreene, 18 November, 2016 Red flag/alarm s/sx (LFA14, BTS16): neonatal or sudden onset, dyspnea, recurrent chronic wet cough, hemoptysis, fever, night sweats, wt loss, FTT, feeding problems, recurrent pneumonia, abnl chest exam, continuous unremitting or worsening cough
By vgreene, 18 November, 2016 Do not use cough suppressants or OTC cough meds (ACCP31); do not use narcotic cough suppressants (LFA17)
By vgreene, 18 November, 2016 Dx somatic (psychogenic) cough if unexplained after thorough eval, ruling out tic disorder + uncommon causes, meets DSM-5 criteria28 for somatic disorder (ACCP29); nonpharmaco-tx suggested (ACCP,29 BTS30)
