Cough: A Worldwide Problem - 05/08/11
, Richard S. Irwin, MDRésumé |
Cough is a common and important respiratory symptom that can produce significant complications for patients and be a diagnostic challenge for physicians. An organized approach to evaluating cough begins with classifying it as acute, subacute, or chronic in duration. Acute cough lasting less than 3 weeks may indicate an acute underlying cardiorespiratory disorder but is most commonly caused by a self-limited viral upper respiratory tract infection (eg, common cold). Subacute cough lasting 3 to 8 weeks commonly has a postinfectious origin; among the causes, Bordetella pertussis infection should be included in the differential diagnosis. Chronic cough lasts longer than 8 weeks. When a patient is a nonsmoker, is not taking an angiotensin-converting enzyme inhibitor, and has a normal or near-normal chest radiograph, chronic cough is most commonly caused by upper airway cough syndrome, asthma, nonasthmatic eosinophilic bronchitis, or gastroesophageal reflux disease alone or in combination.
Le texte complet de cet article est disponible en PDF.Keywords : Cough, Complications, Differential diagnosis, Asthma, Gastroesophageal reflux disease, Upper airway cough syndrome
Plan
Vol 43 - N° 1
P. 1-13 - février 2010 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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