History Taking as a Diagnostic Tool in Children With Chronic Cough

Frontiers in Pediatrics

article

Ahmad Kantar¹  Julie M. Marchant³  Woo-Jung Song⁵  Michael D. Shields⁶  Grigorios Chatziparasidis⁸  Angela Zacharasiewicz⁹  Alexander Moeller^1,10  Anne B. Chang³ 

[1] Paediatric Asthma and Cough Centre;Department of Paediatrics, University Vita Salute San Raffaele;Department of Respiratory and Sleep Medicine, Queensland Children's Hospital;Center for Children's Health Research, Queensland University of Technology;Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine;Medicine, Dentistry and Biomedical Science, Queen's University Belfast;Royal Belfast Hospital for Sick Children;Primary Cilia Dyskinesia Unit, School of Medicine, University of Thessaly;Department of Pediatrics, Adolescent Medicine, Teaching Hospital of the University of Vienna, Wilhelminen Hospital;Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zurich;Child Health Division, Menzies School of Health Research

关键词: chronic cough;    children;    history taking;    diagnosis;    red flags;   

DOI  :  10.3389/fped.2022.850912

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Chronic cough is a common symptom of many underlying respiratory and non-respiratory disorders and may be associated with less serious causes, such as gastroesophageal reflux and nasal diseases. Chronic cough in children differs from that in adults with respect to its etiologies and management since it can indicate a symptom of an underlying disease in children. Guidelines for managing chronic cough in children are based on recording the history, followed by physical examination, chest radiography, and spirometry. Thus, taking accurate respiratory history for coughing helps delineate the pathophysiological basis of the cause of chronic cough. Detailed history taking enhances the evaluation and treatment, and facilitates a tailored diagnostic identification of likely diagnoses. While studies have described evidence-based red flags in children with chronic cough, the value of skilled physicians regarding history taking has received less attention for the best patient care. In the present article, we outline the major questions comprising a detailed history taking for chronic cough in children.

【 授权许可】

CC BY