A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite. He reports he is taking medication for his cholesterol as well as his blood pressure but he cannot remember the name of the medications.

What additional questions would you ask to learn more about his cough?
How would you classify his cough based on the duration to help with the diagnosis?
What diagnostic tests do you want to include to help you with your diagnosis?

Create 2 differential diagnoses flow sheet for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials.

Include 3 references

preview of the answer..

The patient in question presents with the indications of headaches some of the follow-up questions that should be asked, include: do you experience allergies, asthma or any other related medical conditions? Have you suffered from a cold or the flu recently? Furthermore, I would ask if he smokes or spends time around people who smoke. Other important questions relevant to this condition are whether the patient has been exposed to air pollution such as excessive dust or fumes.…

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