ITEMS IN AFP WITH KEYWORD:
Learn which four conditions are the most likely cause, which imaging tests to order, and when to refer patients with refractory cough to a subspecialist.
In their updated guideline, the American College of Chest Physicians offers recommendations addressing: (1) whether treating gastroesophageal reflux disease (GERD) improves cough in patients with chronic cough, and (2) which clinical criteria suggest that chronic cough will respond to therapy.
May 1, 2017 Issue
Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis [Cochrane for Clinicians]
There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number needed to harm [NNH] = 2).
For patients one to 18 years of age, providing honey for cough symptoms can reduce the frequency and severity of cough, as well as improve sleep for patients and parents, when compared with placebo or no treatment. Honey is no better than dextromethorphan for symptom control.
Jun 1, 2016 Issue
ACCP Releases Guideline for the Treatment of Unexplained Chronic Cough [Practice Guidelines]
Persistent cough with an unknown etiology is difficult to treat and can significantly affect quality of life. Although the evidence for the diagnosis and treatment of adults with unexplained chronic cough is limited, the American College of Chest Physicians (ACCP) has released guidelines based on th...
A cough that has no medical diagnosis and does not respond to treatment is sometimes labeled as psychogenic cough, habit cough, or tic cough. These disorders should be distinguished from other forms of chronic cough, but there is little consistency or evidence on how to best diagnose a chronic cough...
In children with chronic cough, a simple approach of ruling out specific indicators of cause, followed by treating a “wet” cough with antibiotics, results in a significant decrease in the duration of cough. Some of the causes of chronic cough were reactive airway disease, bronchiectasis, and aspiration.
A teaspoonful of honey, given alone or with a noncaffeinated liquid before bedtime, decreases cough frequency and severity while improving the sleep of parents and the child with acute cough.
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a medication from an...