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cce_paediatrics_chronic cough (v infective (tuberculosis ((fever, cough,…
cce_paediatrics_chronic cough
severity
sleep
,
school
,
exercise
diagnosis? previous?
time, place
(onset, duration, progression) (frequency, duration,
night
)
character
(
dry
/
productive
) (sputum: hemoptysis, colour, amount, purulent)
association
ddx
factors
(increase:
night
,
exercise
,
weather
,
infection
,
environment
) (decrease:
bronchodilator
)
x infective
aspiration e.g. GERD
heartburn, dyspepsia, after meal
inhaled foreign body
past history
v infective
tuberculosis
(fever, cough, hemoptysis) (night sweat, malaise) (loss of weight, loss of appetite)
post-viral respiratory tract infection
past history
recurrent infection
past history
x infective
bronchiectasis
green sputum
allergic rhinitis
nasal drip, itchy eyes (atopy)
asthma
morning:
wheeze
, night:
cough
,
environment
(atopy)
SUBJECTIVE
sleep
,
school
,
exercise
OBJECTIVE asthma diary (activity status, sleep status) (signs and symptoms) (frequency of bronchodilator) (
peak expiratory flow
)
SUBJECTIVE
longest symptom-free period
OBJECTIVE spirometry
SUBJECTIVE frequency (
exacerbation
,
symptoms
,
bronchodilator
)