A child presents to your clinic with chronic cough.
Challenge: What is your presumptive diagnosis for the following presentations?
1) A staccato cough in young infants?
2) A "seal barking" or "brassy" cough?
3) A chronic paroxysmal cough triggered by exercise, cold air, sleep, or allergens in a kid with a rash?
4) A "Canadian goose-like" honking cough that disappears at night?
5) An acute or subacute paroxysmal cough...with an inspiratory whoop?
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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4 comments:
1) A staccato cough in young infants?
2) A "seal barking" or "brassy" cough? Croup
3) A chronic paroxysmal cough triggered by exercise, cold air, sleep, or allergens in a kid with a rash? Asthma
4) A "Canadian goose-like" honking cough that disappears at night?
5) An acute or subacute paroxysmal cough...with an inspiratory whoop? Whooping cough
1-congenital chlamydia
2-parainfluenza/rsv?
3-asthma
4-
5-pertussis
eletrical alternans =P
Nicely done! I didn't know about the "Canadian goose honk" either. I don't even know what that would sound like.
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Cough
1) Chlamydia trachomitis.
2) Tracheal problem such as croup (laryngotracheobronchitis), bacterial tracheitis, or foreign body.
3) Asthma.
4) Psychogenic or habitual cough.
5) Pertussis
Source: UpToDate.
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