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COUGH, Clinical chest exam, Treat underlying cause - Coggle Diagram
COUGH
Causes
Chronic
Asthma
COPD
Post-nasal drip
GORD
ACE inhibitors
Lung cancer / TB
Red Flag
Weight loss
Haemoptysis
Night Sweats
Acute
Acute bronchitis
Pneumonia
Upper respiratory tract infection (URTI)
COVID-19 / Influenza
Management
Symptomatic relief
Fluids & rest
Stop ACE inhibitor (if relevant)
Symptomatic relief
Investigations
Sputum culture
Spirometry
Bloods (FBC, CRP)
Chest X-Ray
History & Examination
Peak flow (asthma)
Character of Cough
Clear/white → viral
Productive
Yellow/green → bacterial
Blood-stained → serious pathology
Dry
Associated Symptoms
Sputum Production
Fever
Chest Pain
Wheeze
Dyspnoea
When to refer
Haemoptysis
Suspected cancer
Persistent cough >8 weeks
Recurrent pneumonia
Clinical chest exam
Treat underlying cause