Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Cause | ๐ Key Clinical Clues | ๐ Diagnostics | ๐ Management |
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๐คง Viral URTI | Cough, rhinorrhoea, sore throat, low fever | Clinical | Supportive (fluids, rest, paracetamol) |
๐ซ Asthma | Recurrent cough, nocturnal, wheeze, atopy | Spirometry ยฑ trial of bronchodilator | SABA, ICS, trigger avoidance, action plan |
๐ฆ Bacterial Pneumonia | Cough, fever, pleuritic pain, tachypnoea, crackles | CXR (consolidation), blood/sputum cultures | Antibiotics, Oโ/IV fluids, admit if severe |
๐ค Pertussis | Paroxysmal โwhoopโ, post-tussive vomiting | PCR (nasopharyngeal swab) | Macrolides, isolation, notify public health |
โ ๏ธ Foreign Body Aspiration | Sudden onset cough/choke, unilateral wheeze | CXR, bronchoscopy | Remove FB via bronchoscopy |
๐ถ Croup | Barking cough, stridor, worse at night | Clinical | Dexamethasone; nebulised adrenaline if severe |
๐ผ Allergic Rhinitis / Postnasal Drip | Chronic cough, sneezing, itchy eyes, nasal blockage | Clinical ยฑ allergy testing | Antihistamines, nasal steroids, allergen avoidance |
๐ฝ๏ธ GERD | Chronic cough after feeds/lying down, hoarseness | Clinical; pH probe if unclear | Lifestyle, thickened feeds, PPI if persistent |