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COUGH, Emergency Admission arranged for patients with signs and symptoms…
COUGH
Assessment
Onset
Duration
Frequency
Type Dry/Productive
Precipitating/exacerbating factors
Associated symptoms
Smoking history
Environmental factors
Occupational History
Family history
Recent RTI
Recent travel history
Observations BP, O2, HR, RR, Temp
Chest/Lung examination
Head to toe clinical assessment
Differentials
LRTI
URTI
Asthma
COPD
Acute Bronchitis
Pneumonia
COVID 19
Pnumethorax
PE
Smoking
Heart Failure
Foreign Body Ingestion
Lung CA
Obstructive sleep apnoea
RED FLAGS
Haemoptysis
Hoarseness
Peripheral oedema + weight gain
Prominent dyspnoea
Smokers > 45yrs
Fever
Weight Loss
Vomiting
Co-Morbid associated conditions
COPD
Asthma
Allergies
Bronchiectasis
GORD
Sleep Apnoea
Investigations
Chest X ray
Pulse Oximetry
Peak Flow
CRP
Spirometry
Medications risk
ACE Inhibitor
Sitagliptin
Emergency Admission arranged for patients with signs and symptoms of a serious illness