Evaluation of subacute or chronic cough HY

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Rickettsia Rickettsii

Evaluation of subacute or chronic cough

Education

Evaluation of subacute (3-8 weeks) or chronic (>8 weeks) cough
Suspected etiology on
history & physical exam
Evaluate & treat as indicated
ACE inhibitors → Stop ACE
Upper airway cough syndrome → 1st generation H1 blocker
Asthma → pulmonary function tests
GERD → Empiric PPI
No improvement after intervention
Chest X-ray
• Parenchymal disease
• Purulent
sputum/immunocompromised
• No specific etiology

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