Diagnosis | Associated clinical features |
Upper respiratory tract infection (URI) or common cold | Rhinorrhea, nasal obstruction, sneezing, scratchy or sore throat, malaise, headache |
Acute bronchitis | Antecedent (URI), absence of high fever or other systemic signs or symptoms, absence of signs of consolidation on chest exam |
Pneumonia | Fever, tachycardia, tachypnea, signs of consolidation on chest exam, mental status change in those >75 years old |
Post-nasal drip | Post-nasal drainage, need to clear throat, rhinorrhea |
Gastroesophageal reflux disorder | Heartburn, regurgitation, dysphagia |
Asthma | History of episodic wheezing, shortness of breath, allergen exposure or exercise |
ACE inhibitor use | Nonproductive cough, tickling or scratchy sensation in the throat |
Heart failure | Shortness of breath, orthopnea, gallop rhythm, elevated jugular venous pulse, peripheral edema |
Pulmonary embolism | Tachycardia, shortness of breath, pleuric chest pain, hemoptysis |
Lung cancer | Past or present smoking history, change in a chronic "smoker's cough," hemoptysis, signs of focal airway obstruction on chest exam |
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