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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Cough Causing Pain In Chest Indicate?

My son is 4 about to be five. He has had a chronic bad cough for about two weeks or so. Last sunday I took him to the er becauase he was coughing so bad and running a fever. He did not have strep or the flu, his chest sounded clear and his ears were good. Friday, yesterday he had his wellness check up with his family doctor and he checked out good again. But, for about 9 days now he has been tired off and on, no fever some moments of the da, but after every nap he wakes up with a fever and has a fever at night. His cough is so hard his chest is aching and he has not eaten much in the last 5 or so days. Just a lttle bit more information, he had his third set of ear tubes put in during thanksgiving break and at the same time he had his tonsils and aedonoids out??????????
posted on Wed, 4 Feb 2015
Twitter Thu, 12 Feb 2015 Answered on
Twitter Thu, 12 Feb 2015 Last reviewed on
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General & Family Physician,  's  Response
First of all we need to look for respiratory rate, intercostal retractions and his feeding status to r/o Pneumonia.
Next differential is to r/o Tuberculosis by doing PPD and Sputum AFB or GJ aspirate AFB and followed by x ray.
Vaccination history should be collected especially DTap to r/o Pertussis.
Family history of Asthma or previous history of asthma to r/o cough variant asthma.
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What Does Severe Cough Causing Pain In Chest Indicate?

First of all we need to look for respiratory rate, intercostal retractions and his feeding status to r/o Pneumonia. Next differential is to r/o Tuberculosis by doing PPD and Sputum AFB or GJ aspirate AFB and followed by x ray. Vaccination history should be collected especially DTap to r/o Pertussis. Family history of Asthma or previous history of asthma to r/o cough variant asthma.