Cough: Definition and History

00:01 We continue our discussion with Cough, we'll do the same thing.

00:05 Meaning to say that with dyspnea, we walk through why a dyspnea could be perhaps found with standing up, lying down, maybe with exertion.

00:16 With cough, once again, the characteristics and description of how the patients presenting with cough becomes incredibly important for you.

00:25 So along with dyspnea, cough is another main way for you to diagnose your respiratory disease.

00:31 Let's continue. Respiratory causes of cough: asthma, COPD, infection, interstitial lung disease.

00:40 In the overview section, we talked about how these may then give you well depending on the site of what kind of coffee you might have.

00:48 Asthma, we talked about two different types and we will go into this again, atopic or intrinsic.

00:54 The most common will be atopic.

00:56 That's the one in which, upon exposure to allergens in our society, we have difficulty with breathing.

01:03 COPD, more chronic.

01:05 Infections, we talked about atypical and atypical.

01:08 Other causes: allergy, post-nasal drip or even GERD.

01:12 Don't forget this.

01:14 Think about where you are with GERD and the GI system.

01:17 Where are you? At the gastroesophageal junction.

01:20 And now the lower esophageal sphincter is quite weak.

01:23 And so therefore acid is then going to do what reflux into the esophagus.

01:27 And so much so that it might actually cause irritation to the respiratory tree.

01:34 Common causes are bolded, but keep in mind that we will go through all the diseases in great detail. We're just setting up the foundation of cough.

01:42 We'll ask the same question here for cough.

01:45 Is it acute or chronic? Acute then suggests infection or say that your patient is intubated and if your patient is intubated, there is every possibility that those food particles might then aspirate into your trachea. You’re not able to properly get it into the oesophagus, aspiration pneumonia you've heard of or maybe perhaps acute exacerbations with CHF.

01:54 Chronic cough, as you can imagine here, just like chronic dyspnea will be more of your COPD and interstitial lung disease.

02:01 Is your cough productive? Big time. Ask this question.

02:05 If it's dry, well that's a little bit different, maybe it's drug induced and maybe it's it's dry.

02:09 You're thinking more along the lines of allergies and such, but if your cough is productive, then productive cough if it's purulent, mean to say that if it's gold or yellow, something like staph. If it's rusty, now understand with enough coughing, you might then introduce enough damage and injury to the bronchial tree in which at some point, sure, you're going to have a little bit of blood that's rusty.

02:35 Now, if it's straight up just blood, then that's a little bit more concerning.

02:38 And we'll go through differentials.

02:40 Maybe it's cancers or maybe a haemoptysis that you've seen with granulomatosis with polyangiitis or Goodpasture's even if it's purulent.

02:49 We talked about green things like pyocyanin from pseudomonas, so on and so forth.

02:54 Dry cough, this is usually interstitial lung disease.

02:57 ILD stands for interstitial lung disease.

03:00 And by that we mean that we're referring to atypical pneumonia perhaps or maybe even eosinophilic. We'll talk more about these eosinophilic conditions when the time is right.