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DDX Cough
Pt Assessment
Question | Answer |
---|---|
Acute cough | viral URI, bacterial URI, postnasal drip, pneumo, pulmo edema/CHF, PE, aspiration pneumo |
chronic cough: top 3 | postnasal drip, asthma, GERD |
chronic cough: pulmonary infxs | postviral, bronchitis, bronchiectasis, TB, CF, MAC, pertussis, mycoplasma, CT, RSV, parasits |
chronic cough: pulmonary non-infxs | asthma, beta blockers, COPD, ACE inhib, irritants (smoke), endobronchial lesion (tumor), interstitial lung dz, sarcoidosis, chronic microaspiration |
chronic cough: non-pulmonary | GERD, postnasal drip, sinusitis, CHF, laryngitis, ear canal/TM irritation, psychogenic (habitual) |
bloody cough: airways | bronchitis, bronchiectasis, bronchogenic ca |
bloody cough: pulmonary vasculature | LV failure, mitral stenosis, PE, AVM |
bloody cough: pulmonary parenchyma | pneumonia, abscess, TB, aspergilloma, parasites, Goodpasture, Wegener, SLE, smoking crack, idiopathic pulmo hemosiderosis, leukemia |
bloody cough: pulmonary parenchyma: parasites | paragonimus, ascaris, hookworm, strongyloides |
bloody cough: iatrogenic | transbronchial lung bx, anticoag, PA rupture by PA line, |
emphysema PA | tachypnea, accessory mx; AMS if hypercarbia; chest hyperresonant to percussion, wheezes/rales, long exp phase; poss superimposed pneumonia; poss ominously quiet lungs; distant heart sounds |
chronic bronchitis PE | often obese; rhonchi; poss S3 / S4, periph edema |