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Cough

  • Common ddx

    • URTI, sinusitis, asthma, COPD, bronchitis, allergies/postnasal drip, GERD, ACEi, irritant exposure, postinfectious cough
  • Serious ddx

    • pneumonia, TB, lung cancer, PE
  • Labs

    • CBC with diff, Chem
    • TST if suspect TB
    • CXR if pneumonia
    • PFTs if asthma
    • CT if suspect cancer
    • trial of antihistamines if postnasal drip
    • trial of PPI if acid reflux
  • Peds ddx

    • pertussis, croup, RSV, foreign body
  • Other ddx

    • CHF, bronchiectasis, asbestosis, silicosis, pulmonary fibrosis, sarcoidosis, surgery irritation of diaphragm
  • HPI

    • onset
    • triggering events
    • dry vs productive
    • alleviation
    • aggravation
    • recent infection
  • ROS

    • fever
    • sputum, hemoptysis
    • sore throat, runny nose, congestion, sneezing
    • chest pain
    • dyspnea
    • allergies
  • PMH

    • aspiration risk: stroke
    • allergies: seasonal, environmental
  • Meds

    • ACEi
  • Allergies

  • FH

  • SH

    • foreign travel
    • exposure hx: dust, smoke, asbestos, silica
    • sick contacts
    • smoking
  • Px

    • vitals: fever
    • rash
    • ENT: conjunctivitis, nasal mucosa, pharyngitis, drooling
    • sinus tenderness
    • wheezing
    • crackles

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.