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Upper Respiratory Infections – Family Medicine | Lecturio

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So, let’s return to our coughing man.

So, we've added to his history now.

He's got non-productive cough.

It’s slightly worse at night.

He has sore throat and malaise.

In addition,

he's had no shortness of breath,

no facial pressure.

He took care of a grandchild two weeks ago

and she had an upper respiratory infection.

He has a history of gastroesophageal reflux disease and seasonal allergies.

So, let's take a second just to breakdown that history before going to the question.

So, no fever, no shortness of breath,

no facial pressure.

So, makes it sound like an asthma or COPD exacerbation.

It is less likely.

So is sinusitis.

He's got the target there,

the vector case of his grandchild probably gave him the URI that history matches up really well.

He also has a couple of reasons for chronic cough in there as well,

with the GERD and the seasonal allergies.


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