Cough | Signs - MedSchool
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Cough

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Overview

    • How to Assess

    • Ask the patient to cough. Assess the character of the cough and whether it is productive of sputum.
    • Interpretation

    • Barking coughLaryngeal disease - croup
    • Brassy cough - loud, metallic barking soundsMajor airway inflammation
    • Paroxysms of ‘whoops’Whooping cough
    • ‘Bovine’ cough - weak, non-explosive coughVocal cord paralysis
    • Post-prandial coughReflux, aspiration
    • Causes of Cough

    • Acute

    • Infection - URTI, pneumonia, tuberculosis, whooping cough
    • Exacerbations - asthma, COPD, bronchiectasis
    • Foreign body aspiration
    • Pulmonary oedema
    • Pulmonary embolus
    • Reflux
    • Subacute

    • Postnasal drip
    • Postinfectious cough
    • Reflux
    • Chronic

    • Obstructive disease - asthma, COPD
    • Reflux
    • Irritants - tobacco smoke, environmental pollutants
    • Medications - ACE inhibitors
    • Mechanical - tracheobronchomalacia, airway strictures
    • Interstitial disease - pulmonary fibrosis, pneumoconioses, sarcoidosis
    • Neoplasm - bronchial or parenchymal
    • Psychogenic - habit cough, tic cough
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