Pulmonology Book

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Asthma Differential Diagnosis

Aka: Asthma Differential Diagnosis, Asthma Secondary Causes
  1. See Also
    1. Wheezing
    2. Chronic Cough Causes in Children
    3. Chronic Cough Causes
    4. Asthma
    5. Intrinsic Asthma (Non-allergic asthma)
    6. Extrinsic Asthma (Allergic Asthma)
    7. Asthma Evaluation
    8. Asthma Differential Diagnosis
    9. Asthma Management
    10. Asthma Exacerbation
  2. Precautions
    1. See Wheezing
    2. All that Wheezes is not Asthma (see Wheezing)!!
    3. However most recurrent cough with Wheezing is Asthma
  3. Differential Diagnosis: Children
    1. See Chronic Cough Causes in Children
    2. Upper airway disease
      1. Allergic Rhinitis
      2. Sinusitis
    3. Large airway obstruction
      1. Foreign body
      2. Vocal Cord Dysfunction
      3. Vascular Rings of laryngeal webs
      4. Laryngotracheomalacia
      5. Tracheobronchial-stenosis
      6. Enlarged Lymph Node or tumor
    4. Small Airway obstruction
      1. Viral Bronchiolitis
      2. Bronchiolitis Obliterans
      3. Cystic Fibrosis
      4. Bronchopulmonary Dysplasia
      5. Congenital Heart Disease
    5. Other Causes
      1. Psychogenic cough
      2. Gastroesophageal Reflux
      3. Malingering if Secondary Gain (e.g. missed school)
      4. Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss)
  4. Differential Diagnosis: Adults
    1. See Chronic Cough Causes
    2. ACE Inhibitor induced cough
    3. Chronic Obstructive Pulmonary Disease (COPD)
    4. Congestive Heart Failure (CHF)
    5. Pulmonary Embolism
    6. Vocal Cord Dysfunction
    7. Bronchiectasis
    8. Coronary Artery Disease
    9. Gastroesophageal Reflux
    10. Obesity
    11. Deconditioning
  5. References
    1. (1997) Practical Guide for Asthma, NIH 97-4053
    2. Serrano (2014) Crit Dec Emerg Med 28(6):2-10
    3. Wojtczak (1999) Guidelines for Pediatric Asthma Lecture
    4. Evans (1992) Chest 101(6 suppl):368S-71S [PubMed]
    5. Falk (2016) Am Fam Physician 94(6): 454-62 [PubMed]
    6. Kemp (2001) Am Fam Physician 63(7):1341-54 [PubMed]
    7. Moffitt (1994) Am Fam Physician 50(5): 1039-50 [PubMed]
    8. Narasimhan (2021) Am Fam Physician 103(5): 286-90 [PubMed]
    9. Shutari (1995) Am Fam Physician 52(8): 2225-35 [PubMed]
    10. (1996) MMWR Morb Mortal Wkly Rep 45:350-3 [PubMed]

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