COUGH & EXPECTORATION

  • View
    90

  • Download
    0

Embed Size (px)

DESCRIPTION

COUGH & EXPECTORATION. DR.N.SANKAR. COUGH. Defensive mechanism to clear lower air passages. Deeper the inspiration- more effective the cough Glottis close, soft palate raised, all accessory muscles in addition to ordinary are tensed for forced expiration. - PowerPoint PPT Presentation

Text of COUGH & EXPECTORATION

COUGH & EXPECTORATION

COUGH & EXPECTORATIONDR.N.SANKARCOUGHDefensive mechanism to clear lower air passages.Deeper the inspiration- more effective the coughGlottis close, soft palate raised, all accessory muscles in addition to ordinary are tensed for forced expiration.Then glottis relaxed & contents are expelled from the mouthCLASSIFICATION OF COUGHDUE TO 1. INFECTIONS2. MECHANICAL IRRITATION3. REFLEX CONDITIONSINFECTIONSCOMMON COLD- SHORT COUGH, DRY AT FIRST AND LATER PAROXYSMAL PHARYNGITIS-PERSISTENT, GENERALLY DRYLARYNGITIS- NOISY, HUSKY, STRIDULOUSTRACHEITIS- INTENSELY IRRITATING, PAROXYSMAL; + WHEEZINGBRONCHITIS- PRODUCTIVE, FREE OR PAROXYSMALPNEUMONIA- 1ST DAY- DRY, THEN RUSTY SPUTUM, THEN FROTHYTUBERCULOSIS- FREQ, SHORT, SHARP DRY EARLY; LATER ON- COPIOUS PURULENTPLEURISY- SOLITARY, DRY HACKING COUGH SUPPRESSED AS MUCH AS POSSIBLE TO AVOID PAIN.BRONCHIECTASIS- CONSTANT WITH COPIOUS OFFENSIVE PURULENT MORE ON MORN OR CHANGE OF PLACELUNG ABCESS- LOOSE COUGH, OFFENSIVE BLOOD STAINED; AFFECTED BY CHANGE OF POSTUREPERTUSSIS- LONG DRAWN SRIDULOUS INSPIRATION SERIES OF SHORT, SHARP, EXPIRATORY COUGH WITH VOMITING OFTEN; FACE CONGESTEDMECHANICAL IRRITATIONENLARGED UVULA- SINUSITISSMOKINGPRESSING UPON TRACHEAENLARGED HEARTREFLEX CONDITIONSIRRITATION OF PERIPHERAL NERVESENLARGED LIVER AND DIAPHRAGMATIC DISORDERSNERVOUSNESS- SINGLE SHORT DRY AND EXPLOSIVEHYSTERIA- LOUD BARKING WITH APHONIASUDDEN COUGH- TRACHEITIS, BRONCHITIS, BRONCHOPNEUMONIACOUGH WITH PAIN- PNEUMONIA, PLEURISY,COUGH ON LYING DOWN- ENLARGED UVULA, ENLARGED HEARTCOUGH WITH VOMITING- WHOOPING COUGHDRY COUGH- PHTHISIS, LARYNGITIS, NEUROSISLOOSE COUGH- BRONCHITIS, BRONCHIECTASIS, PTHISISSUDDEN PAROXYSM IN A CHILD- FOREIGN BODY, IF WITH FEVER---- LARYNGEAL DIPTHERIASHORT AND SUPPRESSED- DRY PLEURISYIRRITABLE- EARLY PTHISIS, PHARYNGITISPAROXYSMAL- ASTHMA, BRONCHITIS, PERTUSSISEXPLOSIVE- NEUROSIS, LARYNGITISBRASSY- ANEURYSM, MEDIASTINAL GROWTHBOVINE- PROLONGED WITH WHEEZING- RL.N INVOLVEMENTBARKING- HYSTERIAHACKING- PHTHISIS, LARYNGITIS, PHARYNGITISSTRIDOR- PERSISTENT THYMUS, LARYNGEAL DIPHTHERIAEXPECTORATIONLOOK FORQUANTITYQUALITY & COLOURCONSISTENCYODOURMICROSCOPIC EXAMINATIONQUANTITY(24 HRS)MODERATE(2 OUNCES)- ACUTE BRONCHITISLITTLE LARGER AMOUNT- CHRONIC BRONCHITIS, RESOLVING PNEUMONIA, B.CALARGER QUANTITY(OVER 10 OUNCES)- LUNG ABSESS, EMPYEMA, BRONCHIECTASISFROTHY- ACUTE PULMONARY CONGESTIONSUDDEN SEVERAL OUNCES-LUNG ABSCESS, SUBPHRENIC ABSCESS, EMPYEMASUDDEN CLEAR WATERY SALT TASTING- HYDATID CYSTQUALITY & COLOURMUCOIDSEROUSFIBRINOUSFROTHYPURULENTMUCOPURULENTBLOOD STAINEDBLACKRUSTYRED CURRANT JELLYANCHOVY SAUCE PUSGREENISHCONSISTENCYMETHOD ---LOOK FOR FOLLOWING:BRONCHIAL CASTSDITTRICHS PLUGSCURSCHMANNS SPIRALSLUNG STONESLAYER FORMATION

ODOUROFFENSIVEMICROSCOPIC EXAMINATIONCELLULAR STRUCTURESPUS CELLSEPITHELIUM(HEART FAILURE CELLS)RED CELLS EOSONOPHIL CELLSELASTIC FIBRESDESTRUCTION OF LUNG TISSUE- ABSCESS, PTHISIS, GANGRENEORGANISMSPARASITES(HYDATID CYST, LUNG FLUKE, ECHINICOCCI)TB BACILLICOCCI AND BACILLICURSCHMANNS SPIRALSASTHMACHARCOT LEYDEN CRYSTALSASTHMANEOPLASTIC CELLS- CAASBESTOSIS- GOLDEN YELLOW DUMBELLS

BibliographyHow to examine a patient; a guide for student of medicine menino de souzaTHANK YOU