By vgreene, 17 November, 2016 OSA may cause cough; s/sx: snoring, witnessed apneas, daytime sleepiness, FTT, ↑tonsils, nasal obstruction (LFA26)
By vgreene, 17 November, 2016 Wheezing or SOB suggests asthma, but consider diff dx (eg, retained FB); exercise or cold air triggers suggest asthma (BTS23). Reversible airway obstruction supports asthma dx (ACCP24,25)
By vgreene, 17 November, 2016 If persistent, wet/productive cough: Treat w/ 2wk of abx active against common resp pathogens (ACCP21), dx=protracted bacterial bronchitis if sx resolve. However, BTS recommends evaluation for bronchiectasis + its causes (eg, CF, immunodeficiency)22 prior
By vgreene, 17 November, 2016 Paroxysmal cough suggests pertussis or pertussis-like infxn; barking (croupy) cough, tracheomalacia; staccato cough in infant, Chlamydophila pneumoniae (ACCP,18,19 BTS20)
By vgreene, 17 November, 2016 Cough due to allergic rhinitis/postnasal drip suggested by hx, s/sx; allergy testing can be helpful (AAO,15 BTS,16 LFA17)
By vgreene, 17 November, 2016 Remove environmental tobacco smoke, other irritants (ACCP,12 BTS,13 LFA14)
By vgreene, 17 November, 2016 Missed FB can cause prolonged acute or chronic cough (ACCP,9 BTS,10 LFA11); CXR may be normal; suspect w/ sudden onset, progressive cough, hemoptysis, asymmetrical wheeze/breath sounds/hyperinflation (ACCP,9 BTS10)
By vgreene, 17 November, 2016 Manage prolonged acute cough w/ observation unless progressively ↑frequency/severity >2-3wk (BTS7); neonatal-onset cough, hemoptysis always require eval (BTS8)
