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Somatic Cough Disorder — RACP Paediatrics MCQ

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ModerateRespiratorySomatic Cough DisorderRACP Paediatrics

A 9-year-old child has a persistent cough that has lasted 8 weeks. It is dry and occurs mainly during the daytime, disappears during sleep, and is absent during holidays and weekends. Examination and investigations are all normal. What is the most likely diagnosis?

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Correct answer: E — Somatic cough disorder (habit cough)

Somatic (habit) cough: dry, barking cough present during the day only, absent during sleep, and often absent during distracting activities or holidays. All investigations are normal. Management includes reassurance, distraction techniques, and suggestion therapy. It should not be treated with medications.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Chronic Cough