Pivotal Assessment Findings  
History 01. Histroy of Allergy

with one side of the nose being more congested than the other,

.


             

After 1-2 weeks, the cough worsens due to thick mucus in the airways. This can result in bursts of rapid coughing. Patients may turn blue from a lack of oxygen.

[Children and infants especially may appear very ill, vomit following cough fits, and appear exhausted. Infants younger than 12 months of age may not have the strength to have a whoop. In infants, cough may be minimal or absent, with the main symptom being temporary pauses in breathing.]

Diagnosis     Fumes from chemicals, perfumes, cleaning products, smoke, or other irritants Certain foods (for example, spicy foods may trigger mucus flow) Changing weather, cold temperatures, or really dry air Certain medications , including some for birth control and blood pressure Pregnancy Object stuck in the nose (most common in children) Infectious Sinusitis Pertussis

 

 

Bronchitis (smoker), emphysema, cancer (bronchogenic, head and neck, esophageal), TB, interstitial lung disease including sarcoidosis, fungal infection, bronchiectasis, mediastinal lymphadenopathy, thoracic aneurysm, GERD, ACE inhibitors

 

 

USMLE Reviewer (By Subscription)

Chronic Cough