Is there a role for bronchoscopy in the workup of cough? When should bronchoscopy be performed in the evaluation of cough?

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Author: Nicholas Kenyon
Date: June 2008
From: Journal of Respiratory Diseases(Vol. 29, Issue 6)
Publisher: CMP Medica, LLC
Document Type: Technical report
Length: 676 words
Lexile Measure: 1400L

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The evaluation of cough remains an important clinical problem for primary care physicians and pulmonologists alike. In the past 5 years, the American College of Chest Physicians, (1) the British Thoracic Society, (2) and the European Respiratory Society (3) have published comprehensive guidelines to assist in standardizing the approach to cough evaluation. While determining the cause of cough can be vexing initially, prospective studies have shown that the cause can be established in more than 90% of patients.

The consensus definition of chronic cough is a cough of 8 weeks' duration or more. The most common causes of chronic cough include upper airway cough syndrome with postnasal drip, asthma, eosinophilic bronchitis, gastroesophageal reflux disease (GERD), and chronic bronchitis; these conditions constitute approximately 95% of all causes. Given these diagnoses, it is therefore not surprising that the utility of bronchoscopy in the evaluation of chronic cough is minimal.

The 2 major indications for bronchoscopy in the evaluation of cough are hemoptysis and suspicion of foreign-body aspiration. Bronchoscopy should be considered...

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Gale Document Number: GALE|A180472153