Cough resident survival guide (pediatrics): Difference between revisions
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==Overview== | ==Overview== | ||
Cough in kids is one of the most common presenting complaint to pediatricians. importantly cough is not disease by itself but rather | Cough in kids is one of the most common presenting complaint to pediatricians. importantly cough is not disease by itself but rather a manifestation of underlying pathology. | ||
A cough is protective action and can be initiated both voluntary and via stimulation of cough respiratory located throughout the respiratory tract (ear – sinus – upper and lower airway ) | A cough is protective action and can be initiated both voluntary and via stimulation of cough respiratory located throughout the respiratory tract (ear – sinus – upper and lower airway ) | ||
== Classification == | ==Classification== | ||
====== Cough is usually classified based on ====== | ======Cough is usually classified based on====== | ||
1.Duration: | 1.Duration: | ||
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==Causes== | ==Causes== | ||
=== Life Threatening causes === | ===Life Threatening causes=== | ||
Their is no such thing as life threatening causes for cough in kids. | Their is no such thing as life threatening causes for cough in kids. | ||
=== Common Causes === | ===Common Causes=== | ||
==== Noninfectious causes ==== | ====Noninfectious causes==== | ||
# Asthma | #Asthma | ||
# Gastroesophageal reflux disease | #Gastroesophageal reflux disease | ||
# Forgein-body aspiration | #Forgein-body aspiration | ||
# Upper-airway cough syndrome | #Upper-airway cough syndrome | ||
# Extrinsic airway compression | #Extrinsic airway compression | ||
# Smoking (active or passive) | #Smoking (active or passive) | ||
# Cystic fibrosis | #Cystic fibrosis | ||
# Interstitial lung disease | #Interstitial lung disease | ||
# Nonasthmatic eosinophilic bronchitis | #Nonasthmatic eosinophilic bronchitis | ||
<br /> | <br /> | ||
==== Infectious causes ==== | ====Infectious causes==== | ||
# Chronic sinusitis with upper-airway cough syndrome | #Chronic sinusitis with upper-airway cough syndrome | ||
# Pyogenic bacterial pneumonia | #Pyogenic bacterial pneumonia | ||
# Prolonged bacterial bronchitis | #Prolonged bacterial bronchitis | ||
# Tuberculosis | #Tuberculosis | ||
# Mycoplasma pnumoniae infection | #Mycoplasma pnumoniae infection | ||
# Chlamydophila pneumoniae infection | #Chlamydophila pneumoniae infection | ||
# Pertussis | #Pertussis | ||
# Respiratory viral infections (influenza, adenovirus, rhinovirus, respiratory syncytial virus, parainfluenza virus | #Respiratory viral infections (influenza, adenovirus, rhinovirus, respiratory syncytial virus, parainfluenza virus | ||
==FIRE: Focused Initial Rapid Evaluation== | ==FIRE: Focused Initial Rapid Evaluation== | ||
Revision as of 04:35, 25 August 2020
| Cough resident survival guide (pediatrics) Microchapters |
|---|
| Overview |
| Causes |
| FIRE |
| Diagnosis |
| Treatment |
| Do's |
| Don'ts |
Overview
Cough in kids is one of the most common presenting complaint to pediatricians. importantly cough is not disease by itself but rather a manifestation of underlying pathology.
A cough is protective action and can be initiated both voluntary and via stimulation of cough respiratory located throughout the respiratory tract (ear – sinus – upper and lower airway )
Classification
Cough is usually classified based on
1.Duration:
- acute< 2 weeks
- Subacute 2 – 4 weeks
- Chronic > 4 weeks
2.Etiology:
- Specific
- Not specific
3. Quality:
- Dry cough
- Wet (moist) cough
Causes
Life Threatening causes
Their is no such thing as life threatening causes for cough in kids.
Common Causes
Noninfectious causes
- Asthma
- Gastroesophageal reflux disease
- Forgein-body aspiration
- Upper-airway cough syndrome
- Extrinsic airway compression
- Smoking (active or passive)
- Cystic fibrosis
- Interstitial lung disease
- Nonasthmatic eosinophilic bronchitis
Infectious causes
- Chronic sinusitis with upper-airway cough syndrome
- Pyogenic bacterial pneumonia
- Prolonged bacterial bronchitis
- Tuberculosis
- Mycoplasma pnumoniae infection
- Chlamydophila pneumoniae infection
- Pertussis
- Respiratory viral infections (influenza, adenovirus, rhinovirus, respiratory syncytial virus, parainfluenza virus
FIRE: Focused Initial Rapid Evaluation
Complete Diagnostic Approach
Treatment
Do's