Diagnosis and Management of Cough Executive Summary

Abstract

chronic cough are presented in algorithmic form (Fig 1-3). Guidelines with algorithms for evaluating chronic cough in pediatric patients < 15 years of age are presented in the section entitled "Guidelines for Evaluating Chronic Cough in Pediatrics" 2,4 [Fig 4, 5]. For a full discussion on how to use the algorithms, please refer to these sections. Summary and Recommendations Recommendations for each section of these guidelines are listed under their respective section titles. For an in-depth discussion or clarification of each recommendation, readers are encouraged to read the specific section in question in its entirety. Methodology and Grading of the Evidence for the Diagnosis and Management of Cough 5 • The recommendations were graded, by consensus by the panel, using the American College of Chest Physicians Health and Science Policy Grading System, which is based on the following two components: quality of evidence; and the net benefit of the diagnostic and therapeutic procedure. • The quality of evidence is rated according to the study design and strength of other methodologies used in the included studies.

In with acute bronchitis; out with duodenal perforation: the potentially harmful cascade of over-testing. A case report

“…Data suggest that CXR for acute cough in most cases is unlikely to affect management or outcome [7,8]. In the absence of alarming features to suggest pneumonia (fever, tachypnea, tachycardia, or findings of consolidation in chest exam), the American College of Chest Physicians recommends against obtaining CXR for acute cough [9]. It is likely to show normal lung fields (as in this case) or nonspecific findings that do not suggest specific etiology.…”

Kašelj pri otrocih

“…Pri večini otrok s kašljem lahko z natančno anamnezo in telesnim pregledom ugotovimo, ali so ti specifični kazalci prisotni ali ne in se glede na to odločimo, ali so potrebne nadaljnje preiskave (3)(4)(5).…”

“…Zaradi pogostosti in raznolikosti vzrokov za nastanek je obravnava kašlja pri otro- ku velik izziv. Priporočila za obravnavo otrok s kašljem so zdravnikom v veliko pomoč, saj omogočajo strukturiran pristop k diagnostiki in zdravljenju, preprečijo nepotrebne preiskave in močno zmanjšajo nevarnost, da bi spregledali resno bolezen ali celo bolezen, ki ogroža življenje (4,5). Vsekakor pa priporočila niso nadomestilo za oseben pristop in klinično odločitev o možnem vzroku kašlja pri vsakem otroku posebej.…”

A 54 year-old man with a chronic cough — Chronic cough: don't forget drug-induced causes

“…Release of bradykinin, which is normally metabolised by ACE in the lungs, results in a typical tickling, scratchy or itchy sensation in the throat. 3 There is a poor doseresponse relationship and it normally occurs within the first week of treatment -but onset can sometimes be delayed for up to six months. In addition, although most cases subside after four weeks, a significant proportion of cases can take up to three months to resolve after stopping the drug.…”