Breathlessness and cough

Breathlessness is a common presentation for a wide range of mainly cardiorespiratory conditions. It can present as a symptom of a life-threatening emergency. In the acute medical setting, the priority is to recognize those patients who are critically unwell and who require emergency treatment. In this group, rapid initial assessment and treatment are essential. However, at some stage, a more thorough assessment is required in all patients to ensure the diagnosis is correct and that on-going treatment and investigations are planned effectively.Cough is a common respiratory symptom that is troublesome for the patient. Recognizing worrying associated features to prompt further investigation is important.