Professional Documents
Culture Documents
2/6/2012
Subacute cough--- one lasting for more than three weeks; Chronic cough--- lasting more than eight weeks The fifth most common symptom seen in outpatient offices Patients often present with cough complication This discussion provides a brief review of common causes, evaluation techniques and treatment of common cough syndromes
2/6/2012
1996
38% 14% 40% 4% 72%
4
2/6/2012
esophageal pH monitoring, ideally performed with event markers to allow correlation of cough with esophageal pH, is generally considered the optimal diagnostic study, with a sensitivity exceeding 90 percent
2/6/2012
10
Common bacterial organisms include Mycoplasma pneumoniae, Chlamydia pneumoniae, and Bordetella pertussis bacterial suppurative disease of the large airways, in the absence of bronchiectasis, may be a cause of chronic cough
2/6/2012 11 2/6/2012
12
14
Chronic Cough-- Treatment Cough- treatment aimed at the underlying disorder is reported to be successful in more than 95 percent of patients The role of nonspecific therapy is limited because a definitive determination of the cause of chronic cough can be made in most patients: Centrally acting antitussive agents Ipratropium bromide Inhaled corticosteroids
2/6/2012
15
2/6/2012
16
Cough Variant asthma-- Treatment asthma- Same general principles as standard asthma therapy:
The mainstays of therapy are inhaled bronchodilators and/or inhaled corticosteroids a short (one to two week) course of oral prednisone can be given Maintenance inhaled steroids may be needed
Cough Treatment-- GER Treatment- Avoidance of reflux-inducing foods (fatty foods, chocolate, excess alcohol) Cessation of smoking Eating three meals a day without snacking Avoidance of meals for two to three hours before lying down Elevation of the head of the bed An H2 antagonist or a proton pump inhibitoraverage time for response 2 to 6 months be patient Role of aggressive therapy, UGI imaging and consultation
2/6/2012 18
2/6/2012
17