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Approach to cough What common diagnoses will you consider? Write…
Approach to cough
What common diagnoses will you consider? Write differentiating features each
BRONCHIECTASIS
chronic productive cough
copious amount of purulent sputum
hemoptysis
dyspnea
wheeze
pleuritic chest pain
weight loss
crackles at lung bases
ASTHMA
episodic wheeze high pitched whistling sound mildly only end expiratory
chest tightness
shortness of breath
cough non productive non paraoxymal
exercise induced asthma
occupational asthma
allergy induced asthma
TUBERCULOSIS
fatigue
fever
chronic cough, initially dry then productive
weight loss
malaise
blood tinged sputum
anorexia
night sweats
chest xray, pulmonary opacities
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
sputum production
shortness of breath on exertion
excessive cough
history of smoking
Presents in 5th or 6th decade
rhonchi decreased intensity of breath sounds and prolonged expiration
PNEUMONIA
cough with or without sputum
dyspnea
tachypnea
chest discomfort
fever
bronchial breath sounds
rhonchi or inspiratory crackles
LUNG CANCER
shortness of breath
unexplained weight loss
chest pain
fatigue
hemoptysis
wheeze
cough
PULMONARY EDEMA
cough with our
orthopnea
PINK PUFFER
pursed lips
hunched posture
barrel chest
blue bloaters
hypercapnia
mild cyanosis
obese
peripheral edema