Cough and Dyspnea

A8. Cough/Dyspnea

A8.1. Conduct a patient-centred interview and appropriate focused physical examination to identify the common and important causes of cough, particularly

  1. Acute causes
    • Infectious (viral/bacterial)
    • Exacerbation of Asthma
    • Exacerbation of COPD
    • Post-viral cough
    • Exacerbation of CHF
  2. 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

A8.2. Include an appropriate environmental, occupational, and travel history as part of the patient interview.

A8.3. Propose a relevant initial investigation plan (e.g. chest x-ray, spirometry) for a patient with cough.

A8.4. Recognize a patient with respiratory distress (e.g. hypoxia, tachypnea, etc.) and seek immediate help.

A8.5. 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.