{"id":500,"date":"2017-03-27T06:54:54","date_gmt":"2017-03-27T06:54:54","guid":{"rendered":"http:\/\/papergp.com\/index.php\/respiratory\/cough\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"cough","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/respiratory\/cough\/","title":{"rendered":"Cough"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Differential diagnosis<\/strong><\/h4>\n<ul>\n<li>Respiratory\n<ul>\n<li>Lung Ca &#8211; weight loss, haemoptysis<\/li>\n<li>Infection &#8211; change in sputum, fevers, AMTS, CURB-65<\/li>\n<li>Bronchiectasis &#8211; persistent productive cough over months<\/li>\n<li>Asthma &#8211; night time, atopic, typical triggers (exercise, cold, season)<\/li>\n<li>COPD &#8211; smoker, chronic productive cough, SOB<\/li>\n<li>PE &#8211; chest pain, haemoptysis<\/li>\n<\/ul>\n<\/li>\n<li>Cardiovascular\n<ul>\n<li>CCF &#8211; orthopnoea, PND<\/li>\n<\/ul>\n<\/li>\n<li>GI\n<ul>\n<li>GORD &#8211; dyspepsia, association with food\/lying down<\/li>\n<\/ul>\n<\/li>\n<li>Other\n<ul>\n<li>Post nasal drip &#8211; atopic<\/li>\n<li>Foreign body &#8211; child<\/li>\n<li>Medications<\/li>\n<li>Atypical infections (TB, PCP) &#8211; travel, sexual history, immunosuppressants<\/li>\n<li>Asbestosis &#8211; occupational exposure<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>History\n<ul>\n<li>as above<\/li>\n<\/ul>\n<\/li>\n<li>Examination\n<ul>\n<li>Obs: Temperature, RR, HR, Sats, BP<\/li>\n<li>General: Respiratory distress<\/li>\n<li>Respiratory, CVS, Legs<\/li>\n<li>ENT<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical Management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods<\/li>\n<li>Sputum MC&amp;S<\/li>\n<li>CXR<\/li>\n<li>ECG<\/li>\n<li>Lung function testing<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>as per condition<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Note<\/strong><\/h4>\n<ul>\n<li>Average length of common illnesses:\n<ul>\n<li>acute otitis media: 4 days<\/li>\n<li>acute sore throat: 1 week<\/li>\n<li>common cold: 1.5 weeks<\/li>\n<li>acute rhinosinusitis: 2.5 weeks<\/li>\n<li>acute cough: 3 weeks<\/li>\n<\/ul>\n<\/li>\n<li>Consider immediate antibiotics\n<ul>\n<li>systemically unwell<\/li>\n<li>symptoms not settling in accordance with expected course<\/li>\n<li>recent hospitalisation<\/li>\n<li>current use of oral steroids<\/li>\n<li>diabetes<\/li>\n<li>significant heart, lung, renal, liver, neuromuscular disease, immunosuppression, CF, premature children<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Respiratory Lung Ca &#8211; weight loss, haemoptysis Infection &#8211; change in sputum, fevers, AMTS, CURB-65 Bronchiectasis &#8211; persistent productive cough over months Asthma &#8211; night time, atopic, typical triggers (exercise, cold, season) COPD &#8211; smoker, chronic productive cough, SOB PE &#8211; chest pain, haemoptysis Cardiovascular CCF &#8211; orthopnoea, PND GI GORD &#8211; dyspepsia, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/respiratory\/cough\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Cough<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":300,"menu_order":57,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-500","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=500"}],"version-history":[{"count":10,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/500\/revisions"}],"predecessor-version":[{"id":2178,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/500\/revisions\/2178"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/300"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}