Viral cough

Sinusitis, or inflammation of the paranasal sinuses, is better described as rhinosinusitis that also involves inflammation of contiguous nasal mucosa, which occurs in virtually all cases of viral respiratory infections. Acute rhinosinusitis is characterized by symptoms that resolve completely in less than 4 weeks, whereas chronic rhinosinusitis typically persists as cough, rhi-norrhea, or nasal obstruction for more than 90 days. Acute bacterial rhinosinusitis (ABRS) refers to an acute bacterial infection of the sinuses that can occur independently or be superimposed on chronic sinusitis. The focus of this section will be on ABRS and appropriate treatment. 

General absence of conjunctivitis, hoarseness, cough, rhinorrhea, discrete ulcerations, and diarrhea (suggestive of viral etiology)... 

After incubation, initial clinical manifestations include fever, cough, chills, myalgia, headache, and sometimes pleuritic chest pain. Approximately 50% of patients show abnormal chest x-rays patchy infiltrates resemble viral disease. Uncommon complications include endocarditis, hepatitis, aseptic meningitis, encephalitis, and osteomyelitis. Most patients who develop endocarditis have preexisting valvular heart disease.3... 

There may be an asymptomatic interval between recovery from initial symptoms and onset of delayed symptoms, which tend to develop 12-36 hours after exposure. Constrictive pain in the chest is characteristic of the delayed onset of pulmonary effects, followed by cough, hyperpnea, and cyanosis, leading to profound weakness. Except for the pronounced weakness and hyperpnea, the physical findings and symptoms resemble those of a viral or an influenzal pneumonia. 

Beclomethasone - Adverse reactions occurring in 3% or more of patients include headache nasal congestion dysmenorrhea dyspepsia rhinitis pharyngitis coughing upper respiratory tract infection viral infections ... 

Viral B encephalitis (Venezuelan/ Weste n/ Easte n equine encephalitis) Insects— mosquitos VEE 2-6 days WEE/EEE 7-14 days No Standa d Fever, HA, photophobia, N/V/D, sore throat, cough, encephalitis ( ara) Typically 1-2 weeb in non-weaponized forms Supportive... 

The cough may be caused by infections of different origins, from ordinary trivial viral upper respiratory infections to serious bacterial pneumonias including tuberculosis. 

Viral infection and upper respiratory tract infection (cough, pharyngitis, sinusitis, rhinitis) occur rarely. 

As the child is older than 1 year and there is a probable focus for the fever (i.e. the cough - probably a viral infection) then there is no need to refer. 

Welders Inhalation 30 ppm 40 min Dyspnea, cough, headache, tightness or pain in chest, nausea, cyanosis, viral pneumonia, pulmonary edema. Morley and Silk 1970... 

Q10 Possibly. Allergens from the birds feathers and excreta are inhaled and can cause inflammatory changes in the human lung, leading to bronchoconstric-tion. It is also possible that the tatty parrot could be a source of the viral disease psittacosis, which normally affects birds but can infect the human lung when people come into close contact with infected birds. The symptoms include fever, shortness of breath and cough. This disease is common in imported parakeets. 

The route of influenza transmission is person-to-person via inhalation of respiratory droplets, which can occur when an infected person coughs or sneezes. The incubation period for influenza ranges between 1 and 4 days, with an average incubation of 2 days. Adults are considered infectious from the day before their symptoms begin through the fifth day after the onset of illness, while children can be infectious for longer than 10 days after the onset of illness. Viral shedding can persist for weeks to months in severely immunocompromised people. 

Inhalational anthrax Cough, chest pain, dyspnea, viral URI symptoms (sore throat, myalgias, mild fever) during prodrome Lymphadenopathy, widened mediastinum on chest radiograph, pleural effusions. Signs/symptoms progress to respiratory failure, sepsis, and hemodynamic collapse in preterminal stages. 

In patients with definite or probable methotrexate-induced lung injury, the predominant clinical features include shortness of breath, cough, and fever (13). Pathological examination usually shows an interstitial inflammatory cell infiltrate (sometimes granulomatous or with alveolar damage), and variable degrees of interstitial fibrosis. Unfortunately, confirmatory evidence is sometimes hard to obtain, particularly in patients with rheumatoid arthritis in whom rheumatoid interstitial lung disease can also occur. Infectious pneumonias, particularly viral or Pneumocystis jiroveci pneumonia, which resemble methotrexate pneumonitis and can occur as a result of immunosuppression, should also be carefully excluded. 

Viral pneumonia is treated symptomatically with bronchodilators, antipyretics, analgesics, expectorants and mucolytics, and cough suppressants. 

Refer - Symptoms suggest a simple chesty cough associated with a cold probably viral in nature therefore no necessity to refer. 

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