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Cough in pediatrics PDF

2. Suppression of cough in many pulmonary airway dis-eases may be hazardous and contraindicated. Cough due to acute viral airway infections is short-lived and may be treated with fluids and humidity. 3. Dosage guidelines for cough and cold mixtures are ex-trapolated from adult data and clinical experience, and thus are imprecise for children Cough and Pediatrics • Chronic cough is a common reason for presentation of children to their physician with 10 - 20% of pre-school and school-age children presenting with this complaint Pediatric cough is a common clinical. presentation in a primary health-care center. Approximately. 35% of preschool children present cough and around 9% of. 7-11-year-old children present cough. PEDIATRIC COUGH/COLD MEDICINE DOSING CHART* Diphenhydraminea 12.5mg/5ml 12 5.4-8.1kg -17.9 lbs 6.25mg ½ tsp 8.2-10.8kg 18 -23.9 lbs 9.35mg ¾ tsp 10.9-16.3kg 24 35.9 12.5mg 1 tsp 16.4-21.8kg 36 47.9 18.75mg 1 ½ tsp 21.9-27.2kg 48 59.9 25mg 2 tsp 27.3-32.7 kg 60 71.9 31.25mg 2 ½ tsp 32.8-40kg 72 88 37.5mg 3 tsp Guiafenesin 100mg/5ml.

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Cough Pediatric After-Hours Version - Standard - 2019 A cough is the sound made when the cough reflex suddenly forces air and secretions from the lungs. A coughing spell or fit is over 5 minutes of continuous coughing. Paroxysmal coughing is even more prolonged and intense. The cough reflex protects the airways from infection 1. Chang AB. Pediatric cough: children are not miniature adults. Lung. 2010 Jan; 188 Suppl 1:S33-40. 2. Chang AB, Glomb WB. Guidelines for evaluating chronic cough in pediatrics: ACCP evidence-based clinical practice guidelines. Chest. 2006 Jan; 129 (1 Suppl) :260S-283S. 3. Chung KF, Pavord ID. Prevalence, pathogenesis, and causes of chronic. In children six to 14 years of age with chronic cough, initial evaluation should focus on the most common causes: asthma, protracted bacterial bronchitis, and upper airway cough syndrome. C 4, 6. Cough is a common reason for pediatric outpatient visits. Cough as a manifestation of respiratory disease can range from minor upper respiratory tract infections to serious conditions such as bronchiectasis. Acute cough in children is mostly caused by upper respiratory tract infections (URTIs). Chronic cough, defined as daily cough of at least. Click for pdf: Approach to a child with a cough General presentation Background Cough is a common indication of respiratory illness and is one of the more common symptoms of children seeking medical attention. Not only does it cause discomfort for the child, cough also elicits stress and sleepless nights for their parents. Before we [

(PDF) Pediatric cough - researchgate

like rhinorrhea, cough, oral ulcers and/or hoarseness are present. Shared decision-making no * Group A streptococcal ** Rapid antigen detection test *** Polymerase chain reaction. Return to Table of Contents. Text in blue in this algorithm indicates a linked corresponding annotation Epidemiology and population at risk. Cough is the most common pediatric problem managed by FPs, and it is more common in preschool children than in older children. 2 Two out of 3 children aged between 0 and 4 years visit their FPs at least once a year with acute respiratory infections, and up to three-quarters of them will have coughs. 3, 4 Most coughs are caused by acute viral infections, and. Results/conclusions: Pediatric chronic cough (ie, cough in children aged < 15 years) is defined as a daily cough lasting for > 4 weeks. This time frame was chosen based on the natural history of URTIs in children and differs from the definition of chronic cough in adults. In this guideline, only chronic cough will be discussed 1. Jeffrey M. Ewig <!-- --> 1. Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY Cough is a reflex that protects the lungs from aspirating food or inhaling irritants. It is a key component of the nonimmune pulmonary defense system. The cough that accompanies most common respiratory infections usually resolves in 7 to 10 days and rarely is a cause of concern. The patient.

Cough is among the most common complaints of children. Although generally resulting from acute viral infections and therefore self-limited, cough may be the harbinger of a more serious problem. Because cough can be exceedingly disruptive to the child and family, it can lead to significant anxiety for all involved parties Common Pediatric Pulmonary Issues Chris Woleben MD, FAAP Associate Dean, Student Affairs . VCU School of Medicine . Assistant Professor, Emergency Medicine and Pediatrics . • Cough, tachypnea, hypoxia • Asymmetric breath sounds, rales, decreased air movement • Feve Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the.

Video: Cough American Academy of Pediatric

Pediatric chronic cough ( ie, cough in children aged < 15 years) is defined as a daily cough lasting for > 4 weeks. This time frame was chosen based on the natural history of URTIs in children and differs from the definition of chronic cough in adults. In this guideline, only chronic cough will be discussed A cough is a protective action, and can be initiated both voluntarily and via stimulation of cough receptors located throughout the respiratory tract (ear, sinuses, upper and lower airway to the level of the terminal bronchioles, pleura, pericardium, and diaphragm). A cough may serve to remove irritating substances, excessive/abnormal. Cough is the most common presenting symptom in primary care settings. Cough can impact a child's activity level and ability to sleep, play or attend school and is often a source of parental anxiety. Cough in children differs from that in adults in terms of presentation, etiology and management OBJECTIVES The goals of this study were to: (1) determine if management according to a standardized clinical management pathway/algorithm (compared with usual treatment) improves clinical outcomes by 6 weeks; and (2) assess the reliability and validity of a standardized clinical management pathway for chronic cough in children. METHODS: A total of 272 children (mean ± SD age: 4.5 ± 3.7 years.

Etiologies of chronic cough in children are different from those of adults and, thus, clinicians should use pediatric-specific cough guidelines . As an example, gastroesophageal reflux and upper airway cough syndrome (formerly known as postnasal drip syndrome) are thought to be common causes of chronic cough in adults but are controversial as. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6979 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters There are many causes of cough in children. Chronic cough, or cough lasting more than 4 weeks, can be burdensome for patients and their families. Protracted bacterial bronchitis causes daily wet cough. PBB is a chronic bacterial infection of the airways (called bronchi). Protracted bacterial bronchitis is also known as

Approach to a Child With a Cough Learn Pediatric

Acute cough in children - PubMed Central (PMC

Validation of the Pediatric Voice-Related Quality-of-Life

Guidelines for Evaluating Chronic Cough in Pediatric

Low fever, cough, photophobia, coryza, and may include GI symptoms A few days pass Koplik spots develop on buccal mucosa Nelsons Textbook of Pediatrics. Elselvier. 2020 Clinical manifestations of meningococcal infection. Meg Sullivan. November 2018. UpToDat J45.991 Cough variant asthma R06.82 Tachypnea Pediatric ICD-10 Diagnosis Codes 2. J45.998 Other asthma R06.02 Shortness of Breath R05 Cough R06.09 Stridor Cardiac R01.0 Benign and innocent cardiac murmur R01.1 Cardiac murmur, unspecified R01.2 Other Cardiac sound R23.0 Cyanosi

New Diagnosis of Common Variable Immunodeficiency in a 12The diagnosis and management of chronic cough | European

Pediatrics case studies - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. Pediatrics case studies- MBBS Final yea Keywords-cough sound analysis, neural network, pediatrics, pneumonia, asthma. I. INTRODUCTION Pneumonia is a serious threat for children, especially those who live in the third world countries. In the population of children younger than five years, there were around 120 million of pneumonia cases [1]. It was estimated that aroun Chronic cough is common in the pediatric population, but the true prevalence of this condition remains difficult to define. The prevalence of each etiology depends on the population being considered, the epidemiology of infectious diseases, the patient's age, the diagnostic tools used, antibiotics use, immunization, and the local health. Cough is probably the most common cause of seeking medical care in pediatric practice. Most acute cough is caused by infection and usually resolves within less than 4 weeks. If it lasts longer, it is considered chronic and deserves investigation to identify the underlying cause, which can be almost any of a wide variety of illnesses of the. opioid-containing cough products in pediatric patients, as described in section 5. In preparation for this AC meeting, FDA held an Expert Roundtable Meeting on April 24, 2017

Chronic Cough American Academy of Pediatric

INTRODUCTION. Cough is a very common complaint for which patients seek medical attention [1, 2].A number of guidelines defined chronic cough as cough lasting for 8 weeks or longer [1, 3-5].As such, chronic cough can lead to impaired quality of life [].Asthma is a disease in which the airways narrow excessively in response to various stimuli in the presence of airway hyper-responsiveness (AHR. pediatric nursing care plans an introduction to the use of the nursing care plans ix unit 1 growth and development of children 1 1 0 growth and development 2, croup introduction croup respiratory infection with a characteristic cough more detailed information about the symptoms causes and treatments of croup is available below croup symptoms. Caregiver education is the mainstay of management and is recommended by the American Academy of Pediatrics , the United Kingdom's National Institute for Health and Care Excellence , and British Thoracic Society guidelines for the assessment and management of cough in children Pediatric Pulse Rates Age Low High Infant (birth-1 year) 100 160 Toddler (1-3 years) 90 150 Preschooler (3-6 years) 80 140 School-age (6-12 years) 70 120 Adolescent (12-18 years) 60 100 Pulse rates for a child who is sleeping may be 10 percent lower than the low rate listed. Low-Normal Pediatric Systolic Blood Pressure Age* Low Norma

Cough American Academy of Pediatrics Textbook of

The use of dextromethorphan (DM), the most common over-the-counter (OTC) antitussive, for treatment of cough in childhood is not supported by the American Academy of Pediatrics or the American College of Chest Physicians. 2,3 Nonetheless, consumers spend billions of dollars per year on OTC medications for cough. 4, PEDIATRIC HISTORY & PHYSICAL EXAM (CHILDREN ARE NOT JUST LITTLE ADULTS)-HISTORY- Learning Objectives: 1. To understand the content differences in obtaining a medical history on a pediatric patient compared to an adult. a. To understand how the age of the child has an impact on obtaining an appropriate medical history. 2

A Diagnosis of Exclusion: A 3-Year-Old Boy WithPertussis | Whooping Cough | Disease Photos and People

CASE STUDY 3: COUGH, CROUP 2 Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. She is accompanied b Cough is one of the most common symptoms that patients bring to the attention of primary care clinicians. Cough can be designated as acute (<3 weeks in duration), prolonged acute cough (3 to 8 weeks in duration) or chronic (> 8 weeks in duration). The use of the term 'prolonged acute cough' in a cough guideline allows a period of natural resolution to occur before further investigations.

Pediatrics 13: 6-year-old female with chronic cough User: Daniela Fernandez Email: [email protected] Date: August 5, 2021 12:49AM Learning Objectives Upon completion of the case, the student should be able to: Perform an age-appropriate history and physical examination for a child with chronic cough. Generate an age-appropriate differential diagnosis for a child with chronic cough The cough can be dry (no mucus) or wet (coughing up mucus) This PDF is available to Subscribers Only. Sign in or purchase a subscription to access this content. The American Academy of Pediatrics.

There is some concern by pediatric experts regarding the safety of these medications in children younger than 6 years, and while BOX 2. Parent education regarding cough and cold medications It is clear from the literature that the use of cough and cold medications in infants and young children is not recommended Cough is a non-specific symptom; Young children develop 6-12 respiratory tract infections per year, usually accompanied by cough. In most children, the cough is self-limiting (1-3 weeks) In general, if a child presents with a history of daily cough for greater than 3 weeks, further assessment is require

LAPORAN PENDAHULUAN DYSPNEA PDF

Guidelines for Evaluating Chronic Cough in Pediatrics - CHES

  1. Click for pdf: Approach to pediatric hemoptysis General presentation. Hemoptysis, defined as coughing up blood or presenting with blood in sputum, arises from the lungs. There are two vascular beds that supply the lungs: the pulmonary arterial circulatory system which is a low pressure system, and the bronchial circulatory system which is a high pressure system
  2. Whooping cough used to be called the 100-day cough because it can last for weeks to months. The illness often starts like the common cold, with a runny nose, sneezing, and a mild cough or fever. After 1 to 2 weeks, severe coughing starts. The cough often ends with a whooping sound as air is inhaled
  3. Regardless of the setting, whether pediatric or non-pediatric, children with chronic cough should be carefully evaluated using child-specific protocols and algorithms. Those based on good evidence are more likely to improve the Analysis of the Literature on Chronic The Open Respiratory Medicine Journal, 2017, Volume 11 7 clinical outcomes
  4. gly overnight. If there is concern for this particular disorder, an evaluation with a.

Chapter 4. Cough Symptom-Based Diagnosis in Pediatrics ..

  1. Pediatric cough-related issues, like most other conditions in particularly young children, share similarities but also have substantial important differences with adults. These can be understood from physiologically based domains simplified to (1) cough-specific, (2) general respiratory, (3) other direct systems such as the immune system, and (4) other general physiology. Among other reasons.
  2. All children experience head colds and many consult their doctor because of associated coughing.1 Cough with colds remedies are among the most commonly used medications in children in Western societies, despite evidence suggesting ineffectiveness of medication to treat cough as a symptom. The aetiology of coughing in children will cover a wide spectrum of respiratory disorders, and finding and.
  3. Honey helps quiet cough. Carla Kemp. AAP News Feb 2008, 29 (2) 2; Share This Article: Copy. Print. Download PDF
  4. Abstract. Background: Cough has been identified as one of the most common complaints at physician visits and accounts for an estimated 29.5 million annual outpatient visits [1]. Acute cough is defined as cough of less than 2 weeks in duration [2]. Current clinical practice guidelines have recommended against routine use of chest x-rays in evaluation of common causes of cough in the emergency.
  5. Definition of chronic cough. To define a chronic cough on the basis of longevity is clearly an arbitrary paradigm. Early studies used 3 months based on the Medical Research Council definition of chronic bronchitis [].More recent guidelines have adopted 8 weeks in adults [] and 4 weeks in children [].Inclusion criteria for studies of novel antitussives require a cough refractory to treatment to.
  6. Cough Duration >3 weeks. Asthma. Foreign Body Aspiration. Tuberculosis. Awakening more than twice each night. Vomiting more than twice daily. IV. Indications: Additional for acute evaluation age >4 years. Productive Cough of Yellow or Green mucus for >12 hours
  7. Nasal congestion and nasal discharge usually signal the beginning of a viral infection. The mucus is usually clear for the first few days, cloudy for several more, and then clear at the end of the cold. Any mucous that has been in the nose or throat for longer than one day (expressed by a deep cough or good nose blow) is usually a cloudy yellow or green color

Clinical practice guidelines: Approach to cough in

A Word About Children and Cough Medicine. Medication can't cure colds or flu, but honey, hard candies or cough drops can help relieve a sore throat caused by coughing. Because of choking hazards. Agrees with the American Academy of Pediatrics (AAP) that cough and cold medicines should not be prescribed or recommended for respiratory illness in young children. Supports the Food and Drug Administration (FDA) warning that codeine should not be used to treat cough in children younger than 12 years due to the risk of serious side effects. cough usually is defined as lasting for more than 3 to 4 weeks. Chronic cough is a symptom, not a diagnosis. and the underlying cause should be ascertained. Prolonged cough in infants always is unusual and should be investigated. Infections such as C/zlamvdia and pertussis may be the culprit. Chronic cough. often associated with persis

A Cough Algorithm for Chronic Cough in Children: A

  1. Use of a Cough Trick to Manage Pediatric Immunization Pain: A Pilot Study Dustin P. Wallace, M.A., Sheryl L. Pitner, M.D., Amy E. Lacroix, M.D., and Keith D. Allen, Ph.D. Munroe-Meyer Institute and the Department of Pediatrics at the University of Nebraska Medical Cente
  2. The American Academy of Pediatrics states that over-the-counter (OTC) cough and cold medicines don't work for children younger than 6 years and may pose risks. The FDA takes a similar stance. In the new study, 270 children aged 1 to 5 with nighttime cough due t
  3. cough and cold medicines in children younger than 4 years of age. unless specifically told to do so by a healthcare professional. Your healthcare professional will most likely prescribe antibiotics for a . diagnosis of whooping cough (pertussis) or pneumonia. Prevention Practice good hand hygien
  4. able to mobilize secretions with cough, but instruction in effective cough technique may be useful. For adult and pediatric patients with neuromuscular disease, respiratory muscle weakness, or impaired cough, 1) cough assist techniques should be used in patients with neuromuscular disease
  5. Cough Suppressant Our Dosing Guide gives dosages for common over-the-counter medications used in children. These medications are dosed according to weight. To calculate your child's dose, look up his or her weight in the Dosing Guide and read across to the proper dose for each medicine listed. If you do not kno
  6. breath, cough, wheezing, and/or chest tightness. Exacerbations are characterized by decreases in expiratory airflow that can be measured by spirometry or peak expiratory flow (PEF). These objective measures in conjunction with physical finding more reliably indicate the severity of an exacerbation than does the severity of symptoms alone
  7. Neisseria meningiditis •A leading source of community-acquired sepsis and meningitis •Serogroup B in < 5 years •Serogroups C, Y, and W135 in adolescents and adults •US has historic low since quadrivalent conjugate vaccine •Transmission through respiratory droplets or secretions •Risk factors •Age (younger than 1 year or between 15 and 24 years

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Cough 786.2 Allergic sinusitis 477.9 Plan: Office visit, Established patient 992.14 Asthma and cough- Provided couseling related to asthma which included teaching correct technique of inhaler and return demonstration by patient. Triggers were also discussed that brings on exertional symptoms. Patient plays basketball and needs to have inhaler. Pediatric H&P CC: The patient is a 3 year old boy who is admitted at the request of their primary care physician for a high fever and suspected meningitis. The patient's mother is the source of the history. HPI: The patient was acting totally normal and healthy until they developed some congestion and a fever yesterday. The fever initially was controlled with Tylenol until the middle of last. Does your cough produce any phlegm? Is yes, what color? _____ Do you have any of the following? Yes No 7. Sore throat 8. Post nasal drainage 9. Allergies 10. Dry mouth or dry eyes 11. Sinus problems 12. Exposure to irritating fumes 13. Trouble swallowing 14. Generalized weakness 15. Recent excessive weight loss. b. The harsh, barking cough is the result of swelling around the vocal cords (larynx) and windpipe (trachea). When the cough reflex forces air through this narrowed passage, the vocal cords vibrate with a barking noise. Most infections occur among children age 6 months to 3 years. c. Seek immediate medical attention if your child: i

Pediatric Acute Cough - FPnotebook

NCC Pediatrics Continuity Clinic Curriculum: Chronic Cough Faculty Guide. Goals & Objectives: To understand the differential diagnosis and management of common causes of pediatric cough: • List the common etiologies for chronic cough in children, differentiating between specific and non-specific cough and wet and dry cough V Indications for Use:Any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 2 to 3 liters per second), resulting from high spinal cord injuries, neuro-muscular deficits or severe fatigue associated with intrinsic lung disease, is a candidate for this device

Cough • 2: Chronic cough in children Thora

cough lasts more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache. These could be signs of a serious condition. If pregnant or breast-feeding,ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away • Dry cough that won't stop How your child might act: Some behavioral signs that your child may be working harder to breathe: • Waking up from sleeping with cough • Unable to eat/play/run comfortably due to difficulty breathing • Acting tired or weak • Fussy behavior • Eating less than normal or having to rest while eatin of Pediatrics, American Academy of Physician Assistants, Immunization Action Coalition, and Maxim Health Systems. Program supported in part by Sanofi Pasteur. Protect infants against pertussis Cocooning through Tdap vaccination Page 2 of 2. Created Date Cough causes concern for parents and is a major cause of outpatient visits. Cough can impact quality of life, cause anxiety, and affect sleep in children and their parents. Honey has been used to alleviate cough symptoms. This is an update of reviews previously published in 2014, 2012, and 2010 Pediatric SOAP Note Date: 10/4/2012 Name: NB Race: African American Sex: Male Age: 1-year-old (20 months) (full-term) Birth weight: 5lbs5oz Allergies: NKDA Insurance: Medicaid Chief Complaint NB is a 20-month-old male with a new onset of low-grade temperature (99.1), cough, runny nose, and sneezing. He is brought to office by his foster mother

Use of Cough Suppressants in Children; April 27, 2017

Download Free PDF. Download Free PDF. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels , 2009. New Disha. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper The diagnosis of acute respiratory diseases in children can be challenging, and no single objective diagnostic test exists for common pediatric respiratory diseases. Previous research has demonstrated that ResAppDx, a cough sound and symptom-based analysis algorithm, can identify common respiratory diseases at the point of care cough assist, suction, and nebulizer into one multi-function ventilator. VOCSN is simple, Pediatric PRT-01011-000 Adult (w/Cuff) PRT-00947-001 Pediatric PRT-01012-000 Filter Cuff on Adult circuits Filter Cuff on Adult circuits Adult PRT-00930-000 w/Filter Cuff PRT-00930-00 Pediatric OTC Cough and Cold Product Safety. US Pharm. 2009;34 (7):39-41. According to a recent survey of pharmacists, more than 60% of OTC recommendations sought by the public involved cough and cold products. 1 This is no surprise, since the common cold is the most frequently occurring illness worldwide and the leading cause of missed school.

(PDF) Differential diagnosis of chronic cough in childre

Infant can cough forcefully, cry or breathe. Infant becomes unconscious. WHAT TO DO NEXT IF INFANT BECOMES UNCONSCIOUS—CALL 9-1-1, if not already done. Carefully lower the infant onto a firm, flat surface and give CARE for an unconscious choking infant, beginning with looking for an object (PANEL 6, Step 3) Pediatrics 2009;124(2):446-54. Sharfstein JM, North M, Serwint JR. Over the counter but no longer under the radar - pediatric cough and cold medications. N Engl J Med 2007;357(23):2321-4. Smith SM, Schroeder K, Fahey T. Over-the-counter medications for acute cough in children and adults in ambulatory settings

Neurofibromatosis - Pediatrics - Merck Manuals860

Pediatric croup patients who received ≥3 NRE in one children's hospital were more likely to need intensive care management . The receipt of NRE in COVID-19 croup patients also introduce concerns given the aerosol-generating nature of the procedure and the required personal protective equipment needs [ 17 ] Non-medication treatment for your cough or cold. Get plenty of rest and drink plenty of fluids. Try to breathe moist air. Use a humidifier or take a steamy shower. Consume warm fluids (soup or tea) to provide relief for a stuffy nose and to loosen phlegm. Eat a well-balanced diet Keywords: Antitussive, Children, Cough, Efficacy, Grintuss®, Barrier effect, Safety Background Cough is an extremely common problem in pediatrics [1], it is related to a poor quality of life and absence from school for children and from work for parents; moreover night-time cough is the most difficult to solve and to be tolerated Croup is a co mmon illness in young children. It can be scary for parents as well as children. Read on for more information from the American Academy of Pediatrics about croup, including types, causes, symptoms, and treatments

In whooping cough, a wide variety of conditions present themselves, ranging from subconjunctival hemorrhage, ecchymosis of the eyelid and bleeding from the surface of the conjunctiva, producing the so-called bloody tears, 1 to such serious manifestations as exophthalmos from retrobulbar hemorrhage, 2 bleeding into the anterior chamber, 3. Source: Paul IM, Beiler JJ, McMonagle A, et al. Effect of honey, dextromethorphan, and no treatment on nocturnal cough and sleep quality for coughing children and their parents. Arch Pediatr Adolesc Med. 2007 ; 161 (12): 1140 -1145. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] ### PICO Question: Among children with a cough associated with a URI, does honey improve symptoms and.

An 11-day-old white infant is admitted with the chief complaint of poor feeding and new-onset cough. The infant was born at 35-4/7 weeks to a 26-year-old woman who is gravida 6, para 3-2-3-3; the pregnancy was complicated by preterm labor. Maternal history is significant for herpes simplex virus infection with no active lesions during the current pregnancy; she did not receive valacyclovir. affected individuals will present with postinfectious cough syndrome persist- ing from 3-8 weeks post-viral upper respiratory infection. This is known as a sub-acute cough. An acute cough is defined as a cough lasting less than 3 weeks. 1. Medical Condition . The etiology of the post-infectious cough is thought to be an inflammatory respons