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DDX Cough

Pt Assessment

Acute cough viral URI, bacterial URI, postnasal drip, pneumo, pulmo edema/CHF, PE, aspiration pneumo
chronic cough: top 3 postnasal drip, asthma, GERD
chronic cough: pulmonary infxs postviral, bronchitis, bronchiectasis, TB, CF, MAC, pertussis, mycoplasma, CT, RSV, parasits
chronic cough: pulmonary non-infxs asthma, beta blockers, COPD, ACE inhib, irritants (smoke), endobronchial lesion (tumor), interstitial lung dz, sarcoidosis, chronic microaspiration
chronic cough: non-pulmonary GERD, postnasal drip, sinusitis, CHF, laryngitis, ear canal/TM irritation, psychogenic (habitual)
bloody cough: airways bronchitis, bronchiectasis, bronchogenic ca
bloody cough: pulmonary vasculature LV failure, mitral stenosis, PE, AVM
bloody cough: pulmonary parenchyma pneumonia, abscess, TB, aspergilloma, parasites, Goodpasture, Wegener, SLE, smoking crack, idiopathic pulmo hemosiderosis, leukemia
bloody cough: pulmonary parenchyma: parasites paragonimus, ascaris, hookworm, strongyloides
bloody cough: iatrogenic transbronchial lung bx, anticoag, PA rupture by PA line,
emphysema PA tachypnea, accessory mx; AMS if hypercarbia; chest hyperresonant to percussion, wheezes/rales, long exp phase; poss superimposed pneumonia; poss ominously quiet lungs; distant heart sounds
chronic bronchitis PE often obese; rhonchi; poss S3 / S4, periph edema
Created by: Abarnard