Post nasal drip syndrome (41-58%) PowerPoint Presentation: Percentage of cases presenting one, two, three and four causative factors Palombini BC et al. [authorstream.com]

From Ganfyd Upper airway cough syndrome (UACS, postnasal drip syndrome (PNDS)-induced cough, allergic rhinitis induced cough, vasomotor rhinitis induced cough, chronic sinusitis induced cough is a term introduced to describe about 40% of chronic cough presentations [ganfyd.org]

Ankara University, School of Medicine Department of Allergy – PowerPoint PPT presentation Number of Views: 389 Avg rating: 3.0/5.0 less Transcript and Presenter's Notes Title: CHRONIC COUGH rhinitis-postnasal drip syndrome Upper airway cough syndrome [powershow.com]

Presentation on theme: "UPPER AIRWAY COUGH SYNDROME"— Presentation transcript: 1 UPPER AIRWAY COUGH SYNDROME Berna USLU COŞKUN SBU SİSLİ HAMİDİYE ETFAL E. A. [slideplayer.com]

Chinese Journal of Pediatrics # 26 G Draiss, K Razzouki, Y Mouaffak, M Bouskraoui, S Younous This paper presents the case of a 12-year-old child who presented with an 8-day history of cough, respiratory distress, and hemoptysis. [readbyqxmd.com]

• Malaise

  […] watery secretions but only if patient is symptomatic Exclude structural problems (polyps, deflected nasal septum) Others : nasal voice, constant mouth breathing, frequent snoring, coughing, repetitive sneezing, chronic open gape of the mouth, weakness, malaise [authorstream.com]

• Cough

  BACKGROUND: Cough hypersensitivity may be related to the pathogenesis of upper airway cough syndrome (UACS). [ncbi.nlm.nih.gov]

  […] stimulate cough receptors and produce cough independently of or in addition to any associated PND. [scinapse.io]

  Presentation on theme: "UPPER AIRWAY COUGH SYNDROME"— Presentation transcript: 1 UPPER AIRWAY COUGH SYNDROME Berna USLU COŞKUN SBU SİSLİ HAMİDİYE ETFAL E. A. [slideplayer.com]

• Chronic Cough

  […] syndrome (CHS) as forming the basis of chronic cough. [readbyqxmd.com]

  HOSPITAL ENT DEPARTMENT ISTANBUL/TURKEY 2 Upper airway cough syndrome was coined to encompass diseases affecting upper airways, like rhinitis and sinusitis, which results in chronic cough 3 Types of cough Acute: Less than 3 weeks Subacute: 3-8 weeks Chronic [slideplayer.com]

  Description: CHRONIC COUGH rhinitis-postnasal drip syndrome Upper airway cough syndrome Sevim Bavbek, M.D. [powershow.com]

  Abstract Purpose Although upper airway cough syndrome (UACS) is one of the most common causes of chronic cough, there are few reports on the effects of intranasal steroids (INS) on improvement of cough in patients with chronic cough caused by UACS. [synapse.koreamed.org]

  cough Sickness Impact Profile (SIP) scores at baseline in patient with chronic cough: French CL. [authorstream.com]

• Postnasal Drip

  Upper airway cough syndrome (UACS), previously referred to as postnasal drip syndrome, is one of the most common causes of chronic cough. [ncbi.nlm.nih.gov]

  drip theory O’Hara and Jones followed up 108 consecutive rhinitis/rhinosinusitis patients who displayed symptoms of postnasal drip and found that only 21% complained of cough Among the patients with a cough only 8% had postnasal drip and a cough These [slideplayer.com]

  Chronic Upper Airway Cough Syndrome Secondary to Rhinosinus Diseases (Previously Referred to as Postnasal Drip Syndrome) : ACCP Evidence-Based Clinical Practice Guidelines Objective: To review the literature on postnasal drip syndrome (PNDS)-induced cough [scinapse.io]

  If they are clearing their throats frequently, then they probably have postnasal drip. [practicalreviews.com]

• Dry Cough

  All patients reported a history of allergic rhinitis, showed persistent dry cough or small amounts of viscid sputum with a time course of 2-60 months (median = 7 months), and presented with symptoms and signs of rhinitis, normal lung function, and airway [ncbi.nlm.nih.gov]

  Productive cough: Cough than brings up phlegm. Dry cough: Cough that does not bring up phlegm. Nocturnal cough: Cough that only happens at night. Hemoptysis: Coughing blood. [lung.org]

  COPD, pulmonary fibrosis, or inhaled foreign body). 2,4,5 Case 1 A 37-year-old woman presents with a 4-month history of a dry cough. [guidelinesinpractice.co.uk]

  cough syrup síoróip cough cough drops titeann cough cough drop titim casacht dry cough cough tirim cough up casacht suas Watch and Learn Nearby Translations cougar couch potato couch-grass couch grass couchette couches cough drop cough drops coughing [wordhippo.com]

• Nasal Congestion

  Allergic Fungal Sinusitis: Rhinitis medicamentosa A term that is specific for the nasal congestion caused, paradoxically, by the persistent use of a drug, the immediate effect of which is the relief of nasal congestion via local vasoconstriction. [authorstream.com]

  R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems NON-BILLABLE BILLABLE R09.81 Nasal congestion BILLABLE R09.82 Postnasal drip BILLABLE R09.89 Other specified symptoms and signs involving the circulatory and respiratory [icd.codes]

  Other treatments include the following: Nasal decongestants can improve breathing. But the treatment may be less effective with repeated use and can cause rebound nasal congestion. [healthline.com]

  Some patients describe “chest congestion.” In addition, cough can be associated with a “drip,” or drainage down the back of your throat, as well as nasal congestion (“stuffy nose”), nasal drainage (“runny nose”) and sneezing. [aaaai.org]

  Chest 2006 12933S47S 15 Upper airway cough syndrome History Cough Post nasal drip Tickle in the throat Frequent throat cleaning Nasal congestion, discharge Hoarseness Silent Physical exam Mucoid/muco-purulent secretions Cobblesto appearance 16 Upper airway [powershow.com]

• Left Ventricular Dysfunction

  Uncommon Causes of Cough The remaining 5% of cases of cough are caused by conditions that include bronchogenic carcinoma, chronic interstitial pneumonia, sarcoidosis, left ventricular dysfunction, use of ACE inhibitors, neurosensory cough, dynamic airway [clevelandclinicmeded.com]

• Malocclusion

  PowerPoint Presentation: DENTAL MALOCCLUSION DUE TO CHRONIC MOUTH BREATHING IN ALLERGIC RHINITIS PowerPoint Presentation: Nonallergic rhinitis: Vasomotor rhinitis Excessive,thin watery secretions often in reponse to odors, changes in temperature or humidity [authorstream.com]

• Cutis Laxa

  laxa of bilateral upper eyelid; Left upper dermatochalasis; Left upper dermatochalasis (eye condition) ICD-10-CM Diagnosis Code H02.834 Dermatochalasis of left upper eyelid 2016 2017 2018 2019 Billable/Specific Code [icd10data.com]

• Xanthelasma

  […] of right upper eyelid Bilateral upper eyelid xanthelasma; R upper eyelid xanthelasma; Right upper xanthelasma; Xanthelasma of bilateral upper eyelids ICD-10-CM Diagnosis Code H02.61 Xanthelasma of right upper eyelid 2016 2017 2018 2019 Billable/Specific [icd10data.com]

• Chemosis

  […] coughing, repetitive sneezing, chronic open gape of the mouth, weakness, malaise, irritability PowerPoint Presentation: Dennie Morgan line Allergic shiners Allergic Salute PowerPoint Presentation: Marked erythema of palpebral and bulbar conjunctivae Chemosis [authorstream.com]

• Impulsivity

  By stimulating cough receptors that present in the airways and other areas in the upper body, impulses travel thru the vagus nerve to the cough center in the medulla which is controlled by the higher cortical centers. [thoracicmedicine.org]

• Foster-Kennedy Syndrome

  […] limb syndrome NOS Foster-Kennedy syndrome, left eye Left foster-kennedy syndrome ICD-10-CM Diagnosis Code H47.142 Foster-Kennedy syndrome, left eye 2016 2017 2018 2019 Billable/Specific Code Foster-Kennedy syndrome, unspecified eye Foster-kennedy syndrome [icd10data.com]

• Monoplegia

  […] of lower limb following other nontraumatic intracranial hemorrhage ( I69.24- ) monoplegia of upper limb following other nontraumatic intracranial hemorrhage ( I69.23- ) Use Additional code to identify type of paralytic syndrome, such as: locked-in state [icd10data.com]

Further workup may include allergy testing for allergic rhinitis or sinus CT scan for sinusitis, as indicated. [emedicine.medscape.com]

[…] patients without an apparent cause of chronic cough, clinicians should first prescribe empiric therapy for upper airway cough syndrome in the form of a first-generation antihistamine and decongestant preparation, before embarking on an extensive diagnostic workup [medpagetoday.com]

[…] examination findings, radiographic findings, and response to specific therapy Specific treatment should be directed at the cause of cough Empiric therapy for UACS with 1st generation antihistamine/decongestan should be prescribed before extensive diagnostic workup [powershow.com]

[…] undergo sinus imaging 41 ACCP RECOMMENDATION 6: In patients whom a spesific etiology of chronic cough is not apparent, empiric therapy for UACS in the form of a first generation A/D preparation should be prescribed before beginning an extensive diagnostic workup [slideplayer.com]

Therapeutic trials are part of the workup. Do not stop therapy if it is only partially successful: add to existing therapies. Start the investigation with the most likely cause. Treatment is 84% to 98% successful. References Irwin RS, Madison JM. [clevelandclinicmeded.com]

• Erythrocytosis

  […] cromolyn, corticosteroids, and azelastine may be effective Exacerbation of COPD Systemic corticosteroids tapered over10-15 days Supplemental oxygen for PaO2 55 mm Hg or PaO2 56-59 mm Hg plus P-pulmonale by ECG, clinical right-sided heart failure, or erythrocytosis [antimicrobe.org]

• P Pulmonale

  Loratadine, 10 mg once a day Other oral H1 antagonists, nasal cromolyn, corticosteroids, and azelastine may be effective Exacerbation of COPD Systemic corticosteroids tapered over10-15 days Supplemental oxygen for PaO2 55 mm Hg or PaO2 56-59 mm Hg plus P-pulmonale [antimicrobe.org]

[…] for coexisting nasal conditions is logical. [1] [8] Approach to management The ACCP guideline classifies treatment options into the following categories: [1] Avoidance Treatment to block or reduce inflammation and secretions Treatment of infection Correction [online.epocrates.com]

Physicososyal Score, Before After Before After Before After Treatment Treatment Treatment French CL. [powershow.com]

While the general principles involved in treating UACS are similar throughout the world, the specific details of treatment differ. [ncbi.nlm.nih.gov]

Hence, the first step empirical treatment should include UACS therapy in all patients with chronic cough. [turkthoracj.org]

Management Following the patient’s diagnosis, her future management and prognosis should be sensitively discussed. [guidelinesinpractice.co.uk]

In patients in whom the etiology of cough is apparent, specific therapy directed at this condition should be started. [online.epocrates.com]

Empirical treatment directed at the three aforementioned etiologies is thus of considerable value in the initial workup. [readbyqxmd.com]

Along with upper airway cough syndrome (formerly, postnasal drip syndrome) and eosinophilic airway inflammation (asthma, nonasthmatic eosinophilic bronchitis), gastroesophageal reflux disease (GERD) is generally considered among the most common etiologies [scholars.northwestern.edu]

METHODS MEDLINE search (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough," "causes of cough," "etiology of cough," "postnasal drip," "allergic rhinitis," "vasomotor [semanticscholar.org]

METHODS: MEDLINE search (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough," "causes of cough," "etiology of cough," "postnasal drip," "allergic rhinitis," "vasomotor [ncbi.nlm.nih.gov]

Epidemiological evidence The association of cough hypersensitivity with clinically important chronic cough is perhaps best illustrated by the epidemiological evidence of cough hypersensitivity in the sexes. [coughjournal.biomedcentral.com]

The Epidemiologic Survey Committee of the Korean Otorhinolaryngologic Society prepared a protocol for the diagnosis of chronic laryngitis. [journals.lww.com]

Epidemiology Most common cause of in non-smoking adults with intact immunity and normal III. Causes See IV. Signs Posterior pharynx drainage or mucus Throat clearing Oropharyngeal mucosa with cobblestone appearance V. [tripdatabase.com]

Defining chronic cough: A systematic review of the epidemiological literature. Allergy Asthma Immunol Res 2016;8:146-55. 2. Gibson P, Wang G, McGarvey L, Vertigan AE, Altman KW, Birring SS; CHEST Expert Cough Panel. [thoracicmedicine.org]

Defining chronic cough: a systematic review of the epidemiological literature. Allergy Asthma Immunol Res 2016; 8 (2): 146–155. Morice A, McGarvey L, Pavord I. BTS Guidelines. Recommendations for the management of cough in adults. [guidelinesinpractice.co.uk]

Pathophysiology References:[1][2][3][4][5][6][7] Overview Differential diagnosis of acute cough (< 3 weeks) Subacute cough (3–8 weeks) Differential diagnosis of chronic cough Non-life-threatening causes Life-threatening causes In children In adults (> [amboss.com]

A review of the literature and pathophysiology. Ann Intern Med 1992;117(3):234-42. 9. Irwin RS, Curley FJ, French CL. Chronic cough. The spectrum and frequency of causes, key components of the diagnostic evaluation, and outcome of specific therapy. [jkslp.org]

Anatomy and neuro-pathophysiology of the cough reflex arc. Multidiscip Respir Med 2012;7:5. 6. Ando A, Farrell MJ, Mazzone SB. Cough-related neural processing in the brain: A roadmap for cough dysfunction? Neurosci Biobehav Rev 2014;47:457-68. 7. [thoracicmedicine.org]

[…] precipitate the cough, to substitute the cough with another response (breathing or swallowing exercise), and to modify behaviors that contribute to laryngeal irritation.26,86 It is usually performed by speech pathologists and includes a first step of pathophysiological [dovepress.com]

Botulism: Prevention. Centers for Disease Control and Prevention. https://www.cdc.gov/botulism/prevention.html. Accessed June 4, 2019. Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. June 5, 2019. [mayoclinic.org]

Fortunately, there is a now a new safe and effective whooping cough vaccine that can prevent adults from contracting this disease." [medpagetoday.com]

Among the important causes which one need to be aware of are: Occasionally patient may have whooping cough which is not always easy to diagnose, but diagnosis is critical as early treatment can help reduce complications, and prevent the spread to others [allergyasthmasinusctr.com]

[…] inflammatory factors such as histamin This increases cough sensitivity 24 Increased neural sensitivity in the pharynx or larynx Bucca, proposed the concept of larynx hyper-resposiveness (LHR) This is a protective reflex-laryngeal chemical reflex can prevent [slideplayer.com]