Chronic Cough - Fiona Horwood

Date Published: 
Tuesday, March 28, 2017

Dr Fiona Horwood talks about the management of chronic cough in primary care. Fiona is clinical head of general medicine and a respiratory physician at Counties Manukau DHB. Fiona overviews the basics of the cough mechanism and its various causes as well as when to seek further tests/interventions.



  • mechanics of cough
  • three common causes post nasal drip, gastroesophageal reflux, and asthma
  • when does an acute cough become chronic?
  • timescales in adults and children
  • key points to cover when taking history
  • how long does it take a cough to resolve when someone stops smoking or if someone comes off their ACE inhibitor?
  • common cause of chronic cough
  • less common causes of chronic cough
  • what investigations would be useful in a primary care setting?
  • Upper airways cough syndrome
  • when to refer to secondary care?
  • chronic refractory cough… how do we improve a person’s quality of life?
  • is there an evidence base for using antitussives?
  • what is speech pathology and does it work?
  • take home messages.

Clinician Resources

Patient Resources



Dr Fiona Horwood
Respiratory Physician

To contact Fiona Click here.




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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.