Abstract
The most important factor in evaluating patients with chronic cough is the clinicians assessment. This can either suggest the diagnosis or direct investigations as needed. All patients with chronic cough should have a chest radiograph as well as a spirometric examination. The common causes of cough not associated with obvious respiratory disease include asthma and related syndromes, gastro-oesophageal reflux and Post Nasal Drip syndrome. Specialised investigations which may help to establish the diagnosis include broncho-provocation testing, induced sputum cytology, oesophageal manometry, 24-hour oesophageal pH monitoring, computed tomography (CT) and fiberoptic bronchoscopy. Systematic protocols with high diagnostic yields have been described to assess chronic cough. However if there is no ready access to investigations, therapeutic trials targeting the likely cause of cough are justified.
Current Respiratory Medicine Reviews
Title: The Clinical Evaluation of Chronic Cough
Volume: 7 Issue: 1
Author(s): Shoaib Faruqi and Jack A. Kastelik
Affiliation:
Abstract: The most important factor in evaluating patients with chronic cough is the clinicians assessment. This can either suggest the diagnosis or direct investigations as needed. All patients with chronic cough should have a chest radiograph as well as a spirometric examination. The common causes of cough not associated with obvious respiratory disease include asthma and related syndromes, gastro-oesophageal reflux and Post Nasal Drip syndrome. Specialised investigations which may help to establish the diagnosis include broncho-provocation testing, induced sputum cytology, oesophageal manometry, 24-hour oesophageal pH monitoring, computed tomography (CT) and fiberoptic bronchoscopy. Systematic protocols with high diagnostic yields have been described to assess chronic cough. However if there is no ready access to investigations, therapeutic trials targeting the likely cause of cough are justified.
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Cite this article as:
Faruqi Shoaib and A. Kastelik Jack, The Clinical Evaluation of Chronic Cough, Current Respiratory Medicine Reviews 2011; 7 (1) . https://dx.doi.org/10.2174/157339811794109336
DOI https://dx.doi.org/10.2174/157339811794109336 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
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