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Etiology of cough
1.
ETIOLOGY OF COUGH
2.
CAUSES
Respiratory Cause COUGH Non-respiratory Cause
3.
RESPIRATORY CAUSE
Airway irritation Aspirated material Inflammation Infiltration Constriction of airway Parenchymal lung diseases - Interstitial Lung Disease, Pneumonia, Lung abscess Drugs- ACE inhibitor, beta blockers, NSAID
4.
AIRWAY IRRITANTS
EXOGENOUS Smoke, dust, fumes, foreign bodies ENDOGENOUS Upper airway secretions, gastric contents
5.
INFLAMMATION
Airway infection viral or bacterial Bronchitis, bronchiectasis Asthma, cough variant asthma INFILTRATION Bronchogenic carcinoma Infiltration with granulomas- endobronchial sarcoidosis, TB
6.
BASED ON DURATION
ACUTE (<3 Weeks) COUGH CHRONIC (>3 Weeks)
7.
ACUTE
URTI, common cold, inhaled foreign body, inhalation of irritant dust or fumes Pneumonia, pulmonary embolism, CCF, bacterial sinusitis
8.
CHRONIC
GERD Asthma Post nasal drip COPD Bronchogenic carcinoma TB ILD ACE inhibitor
9.
ORIGIN
Pharynx – post nasal drip Larynx – laryngitis, tumor, whooping cough Trachea – tracheitis Bronchi – bronchitis, COPD, asthma, bronchogenic CA Lung parenchyma – TB, pneumonia, bronchiectasis, pulmonary edema, interstitial fibrosis
10.
NON-RESPIRATORY CAUSES PRESSURE
ON TRACHEA OR BRONCHUS Aortic aneurysm, cardiomegaly, mediastinal tumor, lymph node CVS – pulmonary edema, mitral stenosis GIT – GERD Reflex causes – foreign body Psychogenic causes
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