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Common cold

Last reviewed: 12 Feb 2025
Last updated: 06 Feb 2024

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • acute onset
  • rhinitis
  • sore throat
  • sneezing
  • post-nasal drainage/drip
  • cough
  • fever
  • non-specific red pharynx
  • nasal mucosal oedema/erythema
  • purulent drainage in nares and posterior pharynx
  • pulse and blood pressure within normal limits
Full details

Other diagnostic factors

  • malaise
  • myalgia
  • halitosis
  • inflamed tonsils
Full details

Risk factors

  • exposure to affected individuals
  • young age
  • winter season
  • day care attendance
  • exposure to cigarette smoke or other respiratory irritants
Full details

Diagnostic investigations

1st investigations to order

  • no initial test
Full details

Investigations to consider

  • FBC
  • throat swab
  • sputum culture
  • heterophile antibody test
  • C-reactive protein (CRP)
  • chest x-ray
  • sinus CT scan
  • viral testing
Full details

Treatment algorithm

ACUTE

all patients

Contributors

Authors

Bruce Arroll, MBChB, PhD, FRNZCGP

Professor

Department of General Practice and Primary Health Care

University of Auckland

Auckland

New Zealand

Disclosures

BA is an author of a number of references cited in this topic.

Timothy Kenealy, MBChB, PhD, FRNZCGP

Associate Professor of Integrated Care

Department of General Practice and Primary Health Care

University of Auckland

Auckland

New Zealand

Disclosures

TK is an author of a number of references cited in this topic.

Peer reviewers

Fatima Syed, MD, MSc

Associate Professor of Medicine

Duke University School of Medicine

Durham

NC

Disclosures

FS declares that she has no competing interests.

Christopher Cates, MA, FRCGP

Senior Research Fellow

Division of Community Health Sciences

St. George's University of London

London

UK

Disclosures

CC declares that he has no competing interests.

Christopher Del Mar, MA MB, BChir MD, FRACGP, FAFPHM

Professor

Faculty of Health Sciences and Medicine

Bond University

Queensland

Australia

Disclosures

CDM declares that he has no competing interests.

An De Sutter, MD, PhD

Associate Professor

Department of General Practice and Primary Health Care

Ghent University

Belgium

Disclosures

ADS declares that she has no competing interests.

  • Differentials

    • Hay fever (allergic rhinitis)
    • Chronic sinusitis
    • Tonsillitis
    More Differentials
  • Guidelines

    • Cough (acute): antimicrobial prescribing
    • Sore throat (acute): antimicrobial prescribing
    More Guidelines
  • Patient information

    Common cold

    Treating coughs and colds in children

    More Patient information
  • Calculators

    Sore Throat (Pharyngitis) Evaluation and Treatment Criteria (McIsaac)

    More Calculators
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