MKSAP: 32-year-old woman with nonproductive cough

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. She has worked in the same office for 7 years and has lived in the same house for the past 20 years. She has not traveled out of the area for more than 2 years. She has no pets at home, no occupational or other exposure to toxic chemicals, and no family history of pulmonary disease. She takes no medications. The vital signs and results of the physical examination are normal. A complete blood count with differential is normal. Chest radiograph is normal. Pulmonary function tests are normal and a methacholine challenge test is negative. Which of the following is the most appropriate diagnostic test to perform next? A: Bronchoscopy B: 24-hour esophageal pH manometry C: Sinus imaging D: Sputum testing for eosinophils Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Pulmonology Source Type: blogs