By vgreene, 18 November, 2016 Dx tic (habit) cough if unexplained after thorough eval + tic features: suppressibility, distractibility, suggestibility, variability, premonitory sensation (ACCP27)
By vgreene, 18 November, 2016 Empiric tx for allergic rhinitis or GERD not recommended (ACCP,25 BTS,26)
By vgreene, 18 November, 2016 If persistent, wet/productive cough: Treat w/ 2wk of abx active against common resp pathogens; dx=protracted bacterial bronchitis if sx resolve (ACCP,22 BTS,23 LFA24)
By vgreene, 18 November, 2016 Most children w/ nonspecific cough do not have asthma (BTS,19 LFA20); however, consider empirical trial for asthma in pt w/ dry cough who cannot perform spirometry (ACCP,21 BTS19). LFA makes no specific recommendation for empiric trial of ICS tx20 in nons
By vgreene, 18 November, 2016 Identify children whose cough is in normal/expected range (BTS,16 ACP18); normal children w/o resp infxn average 11 coughs/day (BTS16)
By vgreene, 18 November, 2016 Remove environmental tobacco smoke, other irritants (ACCP,15 BTS,16 LFA17)
By vgreene, 18 November, 2016 Missed FB can cause prolonged acute or chronic cough (ACCP,12 BTS,13 LFA14); CXR may be normal; suspect w/ sudden onset, progressive cough, hemoptysis, asymmetrical wheeze/breath sounds/hyperinflation (ACCP,12 BTS13)
By vgreene, 18 November, 2016 Manage prolonged acute cough or chronic cough that is not troublesome w/ observation unless progressively ↑frequency/severity >2-3wk (BTS7). Address parental expectations, concerns, stress (ACCP,1,8 LFA9)
