02-21-2008, 01:20 PM
A 42-year-old man presents with a 3-month history of a persistent nonproductive cough. The cough occasionally awakens him at night. He has had no wheezing, dyspnea, heartburn, or chest pain.
On physical examination, he appears healthy. His temperature is 36.6 °C (98 °F), pulse rate is 80/min, respiration rate is 16/min, and blood pressure is 122/78 mm Hg. He has mild, nasal, mucosal congestion. Examinations of the heart and lungs are normal; results of chest radiography are normal.
Which of the following is the most likely diagnosis?
( A ) Postnasal drip
( B ) Gastroesophageal reflux
( C ) Sinusitis
( D ) Variant asthma
( E ) Pneumonia
On physical examination, he appears healthy. His temperature is 36.6 °C (98 °F), pulse rate is 80/min, respiration rate is 16/min, and blood pressure is 122/78 mm Hg. He has mild, nasal, mucosal congestion. Examinations of the heart and lungs are normal; results of chest radiography are normal.
Which of the following is the most likely diagnosis?
( A ) Postnasal drip
( B ) Gastroesophageal reflux
( C ) Sinusitis
( D ) Variant asthma
( E ) Pneumonia