Can excessive, prolonged and violent coughing due to work place antigen exposure construction dust, in a patient with history of asthma, allergic disorder and a 6 year former smoker, result a paralyzed right diaphragm?
Are your aware of any information that connects excessive, prolonged and violent coughing resulting in a paralyzed diaphragm. I do see various thoracic injuries such as rib fracture and diaphragm rupture reported.
I have no personal knowledge of nor could I find medical reports of diaphragmatic paralysis secondary to coughing, either prolonged and/or violent. I believe that it would be difficult if not impossible to attribute paralysis to cough, with any degree of certainty. It would also be difficult given that acute and chronic cough is very common and spontaneous or otherwise unexplained. Paralysis of a hemi-diaphragm is not rare. As you note, blunt trauma is not an uncommon cause.
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