Respiratory Symptom Evaluation in Adults: Chronic Cough.

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  • Additional Information
    • Source:
      Publisher: American Academy of Family Physicians Country of Publication: United States NLM ID: 101578821 Publication Model: Print Cited Medium: Print ISSN: 2159-3000 (Print) Linking ISSN: 21593000 NLM ISO Abbreviation: FP Essent Subsets: MEDLINE
    • Publication Information:
      Original Publication: Leawood, KS : American Academy of Family Physicians
    • Subject Terms:
      Cough* ; Asthma*; Adult ; Humans ; Symptom Assessment ; Hemoptysis ; Fever
    • Abstract:
      In adults, chronic cough is a nonproductive or productive cough lasting longer than 8 weeks. Coughing is a reflex to clear the lungs and airways, but repetitive, long-term coughing can cause chronic irritation and inflammation. Approximately 90% of chronic cough diagnoses have common nonmalignant etiologies, including upper airway cough syndrome, asthma, gastroesophageal reflux disease, and nonasthmatic eosinophilic bronchitis. In addition to history and physical examination, initial evaluation for chronic cough includes pulmonary function testing and chest x-ray to assess the lungs and heart and for fluid overload, and evaluate for neoplasm or lymph node enlargement. If the patient has red flag symptoms, such as fever, weight loss, hemoptysis, or recurrent pneumonia, or has persistent symptoms despite optimal drug treatment, advanced imaging with chest computed tomography scan is indicated. Management of chronic cough includes identifying and managing the underlying cause as outlined in the American College of Chest Physicians (CHEST) and European Respiratory Society (ERS) guidelines for chronic cough. In diagnoses of refractory chronic cough with uncertain etiology and a negative evaluation for life-threatening causes, cough hypersensitivity syndrome should be considered and managed with gabapentin or pregabalin and a trial of speech therapy.
      (Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.)
    • Publication Date:
      Date Created: 20230523 Date Completed: 20230525 Latest Revision: 20230525
    • Publication Date:
      20231215
    • Accession Number:
      37220186