USMLE STEP 2 CS -COUGH

B PRODUCTIVE

BLOOD in sputum (if yes how much)

PRODUCTIVE PHLEGM(AMOUNT ,BLOOD,CONTENT,COLOR,CONSISTENCY,ODOR)
RECENT TRAVEL
ODOR
DURATION
URI (RUNNY NOSE,CONJUNCTIVITIS,SORE THROAT ,NASAL CONGESTION)
Chest pain(if yes LIQOR PRAAA) /color of sputum
TB EXPOSURE (LAST PPD ,NIGHT SWEATS,, WEIGHT LOSS)
INFECTION
VOLUME OF SPUTUM (how many teaspoons)
ENERGY LOSS 'fatigue' (yes -->how long)

- offer cup of water
- check blood on tissue
- advice smoking cessation

Differential Diagnosis of Chronic Cough

Allergic fungal sinusitis

Allergic rhinitis

Bacterial sinusitis

Occupational rhinitis

Postinfectious rhinitis

Rhinitis caused by anatomic abnormalities

Rhinitis caused by chemical or physical irritants

Rhinitis medicamentosa

Rhinitis of pregnancy