RepertoireClinical template workspaceFree Self-Assessment
AsthmaCommunityacquiredpneumoniaPertussisCough withnormal lungexamChroniccough

Respiratory

Chronic cough

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AsthmaCommunity acquired pneumoniaPertussis

Built from the same sources

Cough with normal lung exam

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Chronic cough

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DurationChoose any

Cough typeChoose one

Red flags presentChoose any

Red flags absentChoose any

Lung examChoose one

Assessment and planChoose one

ContributorsChoose any

TestingChoose any

ReferralChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line aboveNot in the note with these choices

Counseling

A cough can last several weeks after a cold as the airways heal. Recommended supportive care with an emphasis on hydration, honey for cough in children 1 year and older, and avoiding smoke and vape exposure; cough and cold medicines are not recommended for young children. Return precautions given including trouble breathing, fast breathing, coughing up blood, fever, weight loss, a choking episode, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Use Albuterol with a spacer when coughing, especially at night or with exercise, and keep track of whether it helps; that tells us whether this cough is asthma. Recommended supportive care with an emphasis on hydration and avoiding smoke and vape exposure. Return precautions given including trouble breathing, wheezing, coughing up blood, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

A wet cough that lasts for weeks can come from a lingering bacterial infection of the airways, which usually clears with a course of antibiotics. Take all of the medicine. Recommended supportive care with an emphasis on hydration and avoiding smoke and vape exposure. Return precautions given including trouble breathing, coughing up blood, fever, a cough that is not improving by the end of the antibiotic, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

A habit cough is a real cough that the body has learned to repeat; it is not dangerous and goes away during sleep. Recommended supportive care with an emphasis on paying less attention to the cough, distraction, and slow breathing or a sip of water when the urge comes. Return precautions given including trouble breathing, coughing up blood, fever, a cough that happens during sleep, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Red flags: hemoptysis, weight loss, night sweats, choking, clubbing, poor growth
  • Likely cause: post-viral, postnasal, asthma, PBB, habit
  • Chest x-ray, spirometry (older than 5)
  • Cough medicines lack evidence; honey older than 1

Return precautions in the template

trouble breathingfast breathingcoughing up bloodfeverweight lossa choking episode

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.