Speciality
Spotlight

 




 


Family Practice


 

 






Chronic
Cough

  

Cough
is the most common symptom in practice.

  

It is a protective mechanism for clearing secretions or
foreign body from respiratory tract and therefore it can
be initiated by a variety of stimuli.

  

Examples: 
Smoke, dust, fumes, postnasal drip or aspiration
of gastric contents or inflammation (bacterial or viral
infection, asthma) or a neoplasm (bronchogenic
carcinoma)

  

:

  







 

CHILDREN

ADULTS

ELDERLY

COMMON 1.
Viral infection





2. Asthma





3. Psychogenic
 
1.
Smoking

2. Post-viral

3. Asthma

4. Postnasal drip

 
1)
Smoking

2) Post-viral

3) Postnasal drip
UNCOMMON 1.
Foreing body


2.Cystic Fibrosis

1.
Lung Cancer

2. Tuberculosis

3. Bronchiectasis

4. Interstital Lung disease

5. Psychogenic
1.
Asthma

2. Lung Cancer

3. Heart failure

4. Tuberculosis

5. Interstitial Lung Diseases

6. Aspiration of gastric contents.





DIAGNOSIS
AND TREATMENT


 

  

Viral
infection
:


 


 

  

Persistent
cough, sore throat with fever, headache,
chills and photophobia.


 


Throat
swab
:
Isolation of virus


 

  

Treatment:


 

  


 Salbutamol/Theophylline


,

 Antibiotics
if secondary



bacterial
infection is present.

   


Asthma
:


 

  


Cough
during night with wheezing.


Lung
function tests positive


.

  



Bronchoscopy
to remove the foreign body.




Postnasal drip:



Rhinorrhea,
sneezing, nasal congestion along with
cough, sore throat, self-limiting.


 

   


Treatment:

  

 Antihistamines


 


 Nasal
decongestants


 

 Salbutamol inhalation

   


Lung abscess:




    

Postnasal drip:

   

Rhinorrhea,
sneezing, nasal congestion along with
cough, sore throat, self-limiting.


 

   


Treatment:

   

 Antihistamines


 

 


Nasal
decongestants


 

 Salbutamol inhalation

  


Lung
abscess:




  

Cough
with purulent and bloody sputum, which is
foul smelling.


 

Fever,
headache, weight loss, chest-pain,


X-ray
chest.


 

   


Treatment
:

    

 Antibiotics


 

Paracetamol


 

  

Surgery if
necessary.

  

Tuberculosis:




  

Cough
with fever, hemoptysis, loss of


weight,
chest x-ray,


sputum
for AFB


Lymph
node biopsy.


 

  


Treatment
: 

  

Isoniazid


 

Rifampin


 

Ethambutol

Cough
with purulent and bloody sputum, which is
foul smelling.


 

Fever,
headache, weight loss, chest-pain,


X-ray
chest.


 

    


Bronchiectasis:




   

Persistent
cough with purulent sputum and


 hemoptysis,

X-ray
chest


, Bronchoscopy


,CT
Scan

Treatment:8I


 

  

1)     
Clearance of bronchial secretions.


 

2)     
Control of infection with
antibiotics.


 



Bronchodilators.

  


Interstitial Lung disease:


 

    

Dry
cough with progressive dyspnea,


cyanosis,
clubbing of fingers, weight loss.


 

x-ray
chest, lung function tests.


 

  


Treatment:

  

Oral
prednisolone


 

Bronchodilators

   





 

 

Speciality Spotlight

 

 

Chronic Cough
  

Cough is the most common symptom in practice.
  
It is a protective mechanism for clearing secretions or foreign body from respiratory tract and therefore it can be initiated by a variety of stimuli.
  
Examples:  Smoke, dust, fumes, postnasal drip or aspiration of gastric contents or inflammation (bacterial or viral infection, asthma) or a neoplasm (bronchogenic carcinoma)
  
:
  

 

CHILDREN

ADULTS

ELDERLY

COMMON

1. Smoking
2. Post-viral
3. Asthma
4. Postnasal drip
 

1) Smoking
2) Post-viral
3) Postnasal drip

UNCOMMON

1. Foreing body
2.Cystic Fibrosis

1. Lung Cancer
2. Tuberculosis
3. Bronchiectasis
4. Interstital Lung disease
5. Psychogenic

1. Asthma
2. Lung Cancer
3. Heart failure
4. Tuberculosis
5. Interstitial Lung Diseases
6. Aspiration of gastric contents.


DIAGNOSIS AND TREATMENT

 

  
Viral infection:
 

 

  
Persistent cough, sore throat with fever, headache, chills and photophobia.

 

Throat swab: Isolation of virus

 
  

Treatment:

 

  
 Salbutamol/Theophylline

,

 Antibiotics if secondary

bacterial infection is present.
   
Asthma :

 

  
Cough during night with wheezing.

Lung function tests positive

.
  

Bronchoscopy to remove the foreign body.

Postnasal drip:

Rhinorrhea, sneezing, nasal congestion along with cough, sore throat, self-limiting.

 
   

Treatment:
  
 Antihistamines

 

 Nasal decongestants

 

 Salbutamol inhalation
   
Lung abscess:


    
Postnasal drip:
   
Rhinorrhea, sneezing, nasal congestion along with cough, sore throat, self-limiting.

 
   

Treatment:
   
 Antihistamines

 
 

Nasal decongestants

 

 Salbutamol inhalation
  
Lung abscess:


  
Cough with purulent and bloody sputum, which is foul smelling.

 
Fever, headache, weight loss, chest-pain,

X-ray chest.

 
   

Treatment :
    
 Antibiotics

 
Paracetamol

 
  

Surgery if necessary.
  
Tuberculosis:


  
Cough with fever, hemoptysis, loss of

weight, chest x-ray,

sputum for AFB

Lymph node biopsy.

 
  

Treatment : 
  
Isoniazid

 
Rifampin

 

Ethambutol
Cough with purulent and bloody sputum, which is foul smelling.

 
Fever, headache, weight loss, chest-pain,

X-ray chest.

 
    

Bronchiectasis:


   
Persistent cough with purulent sputum and

 hemoptysis,

X-ray chest

, Bronchoscopy

,CT Scan

Treatment:8I

 

  
1)      Clearance of bronchial secretions.

 
2)      Control of infection with antibiotics.

 

Bronchodilators.
  
Interstitial Lung disease:

 
    

Dry cough with progressive dyspnea,

cyanosis, clubbing of fingers, weight loss.

 
x-ray chest, lung function tests.

 
  

Treatment:
  
Oral prednisolone

 

Bronchodilators
   

 

By |2022-07-20T16:43:37+00:00July 20, 2022|Uncategorized|Comments Off on Chronic Cough

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