Patients who spend time at altitude may develop a noninfectious pharyngitis and bronchitis.
Risk factors:
(1) breathing air that is cold and dry (low humidity) for 2 or more weeks
(2) high altitude (> 18,000 feet or > 5,486 meters)
Clinical findings:
(1) sore throat
(2) chronic cough
(3) cough spasms
(4) absence of dyspnea at rest
Differential diagnosis:
(1) infectious pharyngitis, bronchitis or pneumonia
(2) high altitude pulmonary edema
Management:
(1) Maintain hydration.
(2) Use of lozenges, cough medicine and decongestants.
(3) Mouth covering to reduce oral loss of heat and moisture.
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Specialty: Emergency Medicine, Critical Care, Pulmonology, Neurology