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Posted On : 19 Jul 2010

dear sir,
as a family physician ,i would like to know dignosis criteria for whooping coughin child 4-6yrs.not given dpt in infancy.
earlier _?sy siozide {inhpluscogh mix} was used.
with regards.
dr.s.shenai,dahisar{e}

Expert Answer :

Answer Discussion :

Y

yasser tabl

0

cough ,vomitting,resp distress

14 years ago

I

Indira Sahajwala

0

type of cough with typical whoop is important.cough is in bouts followed by occasionally vomiting,WBC is elevated.Diff count shows lymphocytosis

14 years ago

V

V Karuppaswamy

0

Pernasal swab for pertussis
Full blood count with lymphocytosis is sensitive but not specific.
CXR

14 years ago

J

Jella Daivad

0

high index of suspicion,, typical clinical features,

14 years ago

Answer 1

It is a spasmodic cough that leads to suffusment of face and even post tussive vomiting. The cough tends to increase in intensity over a period of weeks unless treated early. There may be an adult contact who may have had a URTI in the past one week. It is also called as 100 day cough. The diagnosis is by culture on cough plate. However mostly it is suspected clinically and treated accordingly.

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