Cough and Dyspnea

  • Conduct a patient-centred interview and appropriate focused physical examination to identify the common and important causes of cough, particularly
    • Acute causes
      • Infectious (viral/bacterial)
      • Exacerbation of Asthma
      • Exacerbation of COPD
      • Post-viral cough
      • Exacerbation of CHF
    • Chronic causes (including screening for red flags, e.g. weight loss, hemoptysis)
      • Post-nasal drip
      • GERD
      • Asthma
      • COPD/Smoking
      • Infection (e.g. tuberculosis)
      • Medication (e.g. ACE Inhibitor)
      • Congestive Heart Failure
      • Neoplasm
  • Include an appropriate environmental, occupational, and travel history as part of the patient interview.
  • Propose a relevant initial investigation plan (e.g. chest x-ray, spirometry) for a patient with cough.
  • Recognize a patient with respiratory distress (e.g. hypoxia, tachypnea, etc.) and seek immediate help.
  • Suggest a preliminary/initial management plan for patients with cough, particularly for the acute and chronic causes listed above, avoiding unnecessary use of antibiotics.

Articles

Cough

Vilensky D, Bordman R.  Cough One-Page Primer.  DFCM Open.  2013.  Available at: http://dfcmopen.com.  Attribution CC BY-NC-ND

Chest X-Ray Interpretation 1 Clinical Card 2014

Yu Y, Spaner SJ, Keegan DA.  Chest X-Ray Interpretation PA.  Canadian Family Medicine Clinical Card.  2014.  Available at: https://sites.google.com/site/sharcfm/

Chest X-Ray Interpretation 2 Clinical Card 2014

Yu Y, Spaner SJ, Keegan DA.  Chest X-Ray Interpretation PA.  Canadian Family Medicine Clinical Card.  2014.  Available at: https://sites.google.com/site/sharcfm/

Office Emergencies emodule

Jansz G, Law M, Lee S et al.  Office Emergencies: Family and Community Medicine Clerkship Core Curriculum Module.  University of Toronto.

Cough. Family and Community Medicine Clerkship Core Curriculum Module

Young S, Mardimae A.  Cough.  Family and Community Medicine Clerkship Core Curriculum Module.  University of Toronto.  March 2018.