Cough
DDx
Acute < 2 mo
Transient <2wks
Acute ( bronchitis, laryngitis, bronchiolitis, pneumonia, asthma)
Prolonged 2wks-2mo
complicated bronchitis
chronic sinusitis
pertussis
pertussis-like illness
Interstitial pneumonia
Chronic > 2mo
Infancy
Rec-aspiration
Feeding-related
GER
T-E fistula (H-type)
cricopharyngeal incoordination
Dx.
Barium meal
lung abnormality
anatomical
tracheomalcia
bronchiomalcia
BPD
severe neonatal lung D.
prolonged mech. ventilation
physiological
cystic fibrosis
Alph 1 AT defeciency
immotile cilia syndrome
+ve Family Hx.
tracheobronchial compression
vascular rings
comlete
double aortic arch 40%
Rt. aortic arch + Lt. ligamentum30%
incomplete
anomalous Rt. SCA 20%
anomalous innominate a. 10%
anomalous Lt. pul. a. Rare
lung cysts
L.Nodes
Tumors
inherited immunodefeciency
secretory IgA
severe, recurrent, persistent chest inf.
Childhood
chronic
asthma
infections
TB
siusitis
bronchioectasis
irritation
Tobacco smoke
IPDs
presentaion
chronic cough
hemoptysis
--- Pulm. functions
Pulm. infiltrate
include
Pul. hemosideosis
Pul. hemangiomatosis
Interstitial fibrosis
Pul. alveolar proteinosis
Pul. alveolar microlithiasis
Dx.
CT, Lung biopsy
pulm. infiltration
VLM
leukemia / lymphoma
histocytosis
wilms tumor
FBA
Acute / chronic / recurrent
Duration
acute
<2wks
prolonged
2wks-2mo
chronic
>2mo
Listen to Character
Dry / productive
Dry
Early infec.(tracheitis)
Productive
bronchitis
resolving pnemonia
aspiration
brochioectasis
Brief / Spasmodic
Spasmodic(paroxysmal)
> 5 coughs / expiration
pertussis
pertusis-like illness
FBA
severe tracheitis
interstitial pnemonia
special sounds (origin)
croupy
laryngitis
brassy
tracheitis
wheezy
bronchiolitis
BA
Time
Nocturnal
BA, pertusis, pertusis-like illness
Midsleep / Early morning
sinusitis
severe on awakening
chronic bronchitis - bronchilectasis
exercise
induced-asthma
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