Chief Complaint: Cough

Question 0

Related medical problems:

Answer 0

1) PNA
2) bronchitis
3) pharyngitis

• if pt has any of these prior medical hxs, make sure to state when/where/how it was diagnosed and whether or not they are taking any medications

Question 1

HPI: focus on :

Answer 1

1) context (C)
2) associated symptoms (A)
3) palliation (P)
4) onset/duration (T)

Question 2

Describe whether cough is ___ or ____.

Answer 2

Productive or dry

If productive, what is the color of the phlegm
Brown, yellow, yellow-greenish, white, clear?

Question 3

Common associated symptoms:

Answer 3

1) CP
2) SOB
3) Fever

If a pt has CP, it is important to specify whether it’s only with cough.

Question 4

PE:

Answer 4

*same as dyspnea

Other abnormal findings:

1) tonsillar exudates
2) pharynx erythematous and swollen

Question 5

Chest X-ray: common findings:

Answer 5

1) no infiltrate
2) no PTX
3) no effusions

Question 6

MDM: if pt has PNA,

Answer 6

They will most likely be started on abx like :

1) Azithromycin
2) Z-pack
3) Prednisone

Question 7

Common DDX :

Answer 7

1) PNA
2) bronchitis
3) pharyngitis
4) upper respiratory infection (URI)
5) croup (only with children)