Approach to a cough (acute) Quiz: Ace Your Exams
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A 50-year-old woman presents to the urgent care with three days of cough associated with sinus congestion and postnasal drip. She has also had fatigue and myalgias. She does not smoke. Past medical history is unremarkable. Temperature is 36.8 ºC (98.2 ºF), pulse is 90/min, respiratory rate is 20/min, blood pressure is 126/82 mmHg, and SpO2 is 98% on room air. On physical examination, the patient is well-appearing. There is no jugular venous distention. There are coarse breath sounds in both lung fields which improve after the patient is asked to cough. Faint wheezing is heard in the upper left lobe. There is no peripheral edema. A chest radiograph is obtained and shows no opacifications or effusions. Which of the following is the most likely diagnosis?
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