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Group 10
Outline
Synopsis
Epidemiology
Anatomy
Mechanism
Red flags
Risk factors
Diagnosis
Algorithm
Physical examination
Hypothetical case
EBM
SYNOPSIS
http://www.nhs.uk/conditions/cough/pages/introduction.aspx
Synopsis
1.
2.
3.
4.
Synopsis
Short Term Coughs(Acute)
An
Synopsis
Subacute Cough
Postinfectious cough is the most common cause of subacute
cough.
Pertussis
Synopsis
Persistent coughs (chronic)
A persistent cough may be caused by:
chronic bronchitis
asthma
an allergy
smoking
bronchiectasis
postnasal drip
Gastro-oesophageal reflux disease (GERD)
Synopsis
Postnasal Drip
Asthma
GERD
COPD
Medication-related cough
Pneumonia
Whooping Cough
http://news.health.com/2015/04/07/whats-causing-your-cough/
http://www.nhs.uk/conditions/cough/pages/introduction.aspx
EPIDEMIOLOGY
Epidemiology
MECHANISM
Mechanism
www.slideshare.net
RED FLAGS
RISK FACTORS
The main risk factor for cough is being exposed to irritants, for
example:
Smoke
Noxious fumes
Allergens such as pollen and dust
Smog and other environmental pollutants
DIAGNOSIS
Chest x-ray
Sputum culture
Breathing tests (also called pulmonary functions tests, PFTs,
or spirometry)
Blood tests
Chest CT scan
Bronchoscopy
ALGORITHM
PHYSICAL EXAMINATION
Physical Examination:
COUGH
1. Vital signs, including respiratory rate, temperature, and O2 saturation
2. General appearance: How sick does patient look?
3. Systemic exam if systemic symptoms indicate.
4. HEENT: Nasal passage, sinuses, throat, adenopathy, neck veins if
considering cardiac problem.
HYPOTHETICAL CASE
Hypothetical case
Hypothetical case
Hypothetical case
Hypothetical case
Differentail diagnosis :
viral rhinosinusitis
acute bronchitis
acute pneumonia
Hypothetical case
Final diagnosis:
Acute pneumonia
THANKYOU !