You are currently viewing Assessment Of Chronic Cough – Mnemonic

Here is a quick mnemonic “CHRONIC COUGH to remember about Assessment Of Chronic Cough

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Assessment Of Chronic Cough: How To Remember Easily ?

  • C – Clues: Assessing chronic cough requires attention to clues like resonance, time of occurrence, and coughing pattern.
  • H – Hyperpnea: Cough often worsens with hyperpnea of exercise or talking and improves with sleep.
  • R – Respiratory: The physical examination looks for respiratory disease signs like wheezing or crackles on chest examination.
  • O- Other: Examination of auditory canals, nasal passageways, and nails may provide additional etiologic clues.
  • N – Necessary: A chest radiograph is necessary in the evaluation of chronic cough.
  • I – Illnesses: The list of diseases causing persistent cough without other symptoms is long, including sarcoidosis, Hodgkin’s disease, and lung cancer.
  • C – Culture: Purulent-appearing sputum should be sent for bacterial and mycobacterial culture.
  • C – Cytologic: Cytologic examination of mucoid sputum may help assess malignancy and bronchitis type.
  • O- Oropharyngeal: Oropharyngeal aspiration should be considered in cases of blood-tinged cough.
  • U – Urgent: Expectoration of blood requires a special approach to assessment and management.
  • G – General: A thorough general examination is important to rule out systemic diseases.
  • H – Hodgkin’s: Hodgkin’s disease can be a cause of chronic cough in young adults.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER working in department