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Related Experiment Videos

A coughing child: could it be asthma?

H John Fardy1

  • 1h.j.fardy@unsw.edu.au

Australian Family Physician
|July 2, 2004
PubMed
Summary

Persistent cough in children often stems from infections, not just asthma. Differentiating causes like foreign bodies, pertussis, and pneumonia is key. Asthma is usually accompanied by wheezing and shortness of breath.

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Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Diagnosis

Background:

  • Cough is a frequent pediatric complaint in primary care.
  • Parents often suspect asthma, even with common upper respiratory infections.
  • Distinguishing asthma from other cough causes is crucial.

Observation:

  • Key differential diagnoses for acute cough include foreign body aspiration, infections (pertussis, pneumonia), and asthma.
  • Clinical history and physical examination are primary diagnostic tools.
  • Special investigations may be necessary for accurate diagnosis.

Findings:

  • Cough as the sole symptom of asthma is uncommon; wheezing and dyspnea are typical indicators.
  • A personal or familial history of atopy supports an asthma diagnosis.
  • Asthma-related findings on examination or spirometry may be absent between exacerbations.

Implications:

  • Accurate diagnosis of pediatric cough is essential for appropriate management.
  • A trial of bronchodilators can aid in diagnosing suspected asthma.
  • Early identification and treatment of underlying causes prevent complications.

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