CHAPTER Karen J Tietze Cough san important eee rps sex wah poten ty Snieaeadsese instal and pola casein, ‘vets ecopnme pact Cog te aot comme 9p tom wtieh patents sock wedi re! Approsiny sin fi ambatey ca vis pca CBi,bon- Pa otpten Spare an emergency departs Ertiepsancerd seh Dpegh Ge tree taper tect fering tines eins, aba, oF ‘onic roach Beene many peels lf-ret cangh, therm eden ofa ike c higher Ht ssbeon stated hat Amerie pend seven ion dla an ily on nonpresrpton ough ana ca medicions Thesis ough produce ed in the op 10 noprecripion mes ‘ons bya n 2006 act or more an $370 mlion ial Pathophysiology of Cough Cough eid by tiation of sony espa lasted thvoghout the lynx and the proximal porn af the ea ‘heabronchi re” Cough span wgaly edie Retlecoush Gavokaary sou enol by te "cosh fotrl cece” nthe mls oblovgt of the brite, ‘wheres vlry couch scone the cereal eaten cepto inthe ays al rosa ways te me semtive to methane sinalion wert layed eyes drei sonlneto emt sidan! Eee is ‘aor rpaory muscles ae cred bythe vag, pene, Tirgnget and pil enor ares. The cough hel my Ie tatueced bythe mer of rene nerves ata and the eenay of aceon” Vine spent cree cs recep sense" ‘Cougs east of te pase: spite compressive andes" A cough are sha dep impaired icone of he gon ni foeeil eoeeton af hecho ‘allan all and daphrgratic msds pat the dos [it prem fn the horace evty ay ret 300 a Fg Seth epioy sr eockis wp 0) mph; Mac, elt ‘eis tcp trae proplle on fe eptory sper when the ht cpen Congh peal cca inepoc (Cech Bs) ‘Cosh, dad sau e dantonofesthan 3 weeks subsea duran of-8 wel) ochre fe dat i oflonger than 8 week), symptom of dee ie Svs and noninfected (Table 121). cate cosh Sion (URTIzeg te common ol. Sabcue cough eon ‘only ied by ineson, btn sit nd this The ‘mow common cates of conc cough ad nope {re appersineny cough syndrome (UACS: previously now 2 posal dp sre) atin and seepage ‘els dese (GERD). a chen, cough may bea apt ‘rt or bactel eptatory ncon, het see Fre ‘ly pinion pion Ee by poo coonioetion Sling and swallowing esophageal most done [Angiovonin conver eayneinhibor cane Sy cog a 2 or more of ested pens. Sytemic aad epbalnc ieta-vennpc Blockers may eanse cough in pss wih slrctve away dears. an or cren obaructve alimnary dwn [COPD Clinical Presentation of Cough Coughsare dibs productive oroapradactve A peo suctive cough (eg a wet oF ‘ches cong) expe secre tds im the ower rexpratory eae rete ol Sng venation adhe ang ait to est fn, Po erie cough maybe ecene (cron cay expelled) or Snafctve fected sent br di to expe. Abogh ‘Re arpemnee of desertion males reat dae osc ndcaor the secretions may Becket (neh) mle (cn, bce inferdon]; darolre fa, yellow ‘sith ifannttary sore) or moons eg. anaerobic acter iafecrion). A oproctve cough (eg, 3 ey oF “ing” cough) ores ao tefl physiol pone. New productive cough ate anocaed hil repusory ent ‘neon ape bute eons GERD, coe dese nde medion ‘Compleat secondary to hi nator prestes ang expitory eects ctr repre tbe cae PE ‘feough Common comple nel aks, a= ‘sh, molecu pin, hoanene, exenive pena, ‘dtanyinteinence Lea crate eget inte “indn dhyehmin ycope, eke, ab cers Cough ‘my ee prong em ork coat wea fom sacl acts, and erat he cough mayan o ‘ston thes sich sane ortabeeces.