In patient with “Acute Cough,” can present exactly like asthma, with any (or all) of the following (bilaterally):
- Wheezes (long, high-pitched, expiratory)
- Rhonchi (long or short, high- or low-pitched, inspiratory &/or expiratory squeaks & gurgles)
- Expiratory Phase longer than Inspiratory (“E > I”, which is the opposite of a normal exam)
- Maybe even normal lung sounds (in which case, diagnose “Tracheitis”)
Distinguish from Asthma by No Prior History of similar symptoms.Treat with inhaled bronchodilators.
- Add “controller meds” on follow-up if needed
- Don’t chart “asthma” until symptoms persist months, or there’s a pattern of recurrence.
Do NOT give Antibiotics (it’s always viral).
See posting Acute Cough – 2.