Última revisão: 25 GUA 2021
Última atualização: 13 GUA 2021

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • início agudo
  • rinite
  • faringite
  • espirros
  • drenagem/gotejamento pós-nasal
  • tosse
  • febre
  • faringe vermelha inespecífica
  • edema/eritema da mucosa nasal
  • drenagem purulenta nas narinas e na faringe posterior
  • pulso <100 bpm; ausência de hipotensão

Outros fatores diagnósticos

  • mal-estar
  • mialgia
  • halitose
  • amígdalas inflamadas

Fatores de risco

  • exposição a indivíduos afetados
  • idade jovem
  • estação do inverno
  • frequentar creches
  • exposição à fumaça de cigarro ou a outros irritantes respiratórios

Investigações diagnósticas

Investigações a serem consideradas

  • Hemograma completo
  • swab da garganta
  • cultura de escarro
  • teste de anticorpos heterófilos
  • proteína C-reativa
  • radiografia torácica
  • TC dos seios da face
  • exame viral

Algoritmo de tratamento

Colaboradores

Autores

Bruce Arroll, MBChB, PhD, FRNZCGP

Professor

Department of General Practice and Primary Health Care

University of Auckland

Auckland

New Zealand

Declarações

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

Declarações

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

Revisores

Christopher Cates, MA, FRCGP

Senior Research Fellow

Division of Community Health Sciences

St. George's University of London

London

UK

Declarações

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

Declarações

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

Declarações

ADS declares that she has no competing interests.

Greg Poland, FRCOG

Mary Lowell Leary Endowed Professor

General Internal Medicine

Paediatrics

Mayo Clinic

Rochester

MN

Declarações

GP has no competing interests in regards to the common cold. He does consult with a variety of manufacturers and performs research studies related to influenza, founded by vaccine manufacturers, none of which involves virus related to the common cold.

Peter Dicpinigaitis, MD

Professor of Clinical Medicine

Albert Einstein College of Medicine

Director

Intensive Care Unit

Weiler Division/Montefiore Medical Center

Bronx

NY

Declarações

PD has served as a consultant to Reckitt Benckiser, Procter & Gamble, Wyeth Pharmaceuticals, Novartis, Glaxo SmithKline, and Boehringer Ingelheim.

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