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cce_paediatrics_chronic cough (summary (I took a history from (Mrs. Chan),…
cce_paediatrics_chronic cough
PMH/DH/Fx
asthma
frequency (exacerbation, symptoms, bronchodilator)
longest-symptom free period
impact (sleep, school, exercise)
allergic
eczema
me, parent, child
CC/HPI
TOCC
systemic
fever, weight, appetite
HPI
associated
ddx
factor
(
increase
: URTI, exercise, weather, environment) (
decrease
: bronchodilator)
severity
impact
: sleep, school, exercise
character
(
sputum
: hemoptysis, colour, amount)
time
(onset, duration, progression) (duration, frequency,
morning
)
general well-being
playful, alert, consolability, motor, eating
first
previous episodes
diagnosis
family, social
social history
parents (smoking, drinking, substance)
parents (occupation)
live with whom, major carer, environment
school
family support?
birth, developmental, immunization, growth
gestation week
mode of delivery
antenatal, intrapartum, postpartum
x infective
aspiration, GERD
heartburn
inhaled foreign body
history
bronchiectasis
green sputum
allergic rhinitis
nasal drip, itchy eyes, atopy
asthma
wheezes, atopy
infective
recurrent respiratory infections
infection
tuberculosis
(fever, cough, hemoptysis) (night sweat, malaise) (weight, appetite)
post-viral
infection
summary
I took a history from (Mrs. Chan), (mother) of their (4-year old) child, who presents with (chronic cough) for (12 weeks)
this is a (dry cough), associated with (wheezes, sneezes, rhinorrhea), exacerbated by exercise, relieved by bronchodilators, worsen at night
no (hemoptysis, loss of weight, loss of appetite)
he/she has a past medical history of (eczema) for (2 years), (drug history), family history of (atopy)
birth and developmental history are unremarkable, immunizations are up to date
his condition is likely to be related to his father being a smoker and his home environment
the most likely diagnosis is asthma