[66F] Experiencing dry cough and postnasal drip
Patient Description
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Arora's Assessment
Dry cough, sneezing, runny nose, and postnasal drip
Differential diagnosis
- Given the patient's symptoms and known allergies, the most likely diagnosis is allergic rhinitis (J30.9).
- Other possible diagnoses include common cold (J00), sinusitis (J32.9), and influenza (J11.1).
Plan
Continue with antihistamines and add a nasal corticosteroid spray to help manage symptoms. Recommend over-the-counter cough suppressants for the dry cough. Encourage the patient to avoid known allergens, such as cats and cottonwood trees. If symptoms persist or worsen, consider ordering a complete blood count (CBC) to rule out infection and a chest X-ray to rule out any lung conditions. If the patient's symptoms do not improve within a week, consider referral to an allergist for further evaluation and treatment.
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11 mo ago