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response to the below DQ 150 words with 1 citation/ refrence less than 5 years old apa format
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A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite.
What additional questions would you ask to learn more about his cough?
Do you cough up any phlegm or sputum? How much? What color is it?
Does the cough come on with activity? Position?
Which treatments have you tried?
Are you taking any prescription or over the counter medication?
Do you have shortness of breath?
Do you have asthma?
Do you have a family history of asthma?
Do you have allergies?
Do you have reflux?
Do you smoke?
Are you exposed to any environmental irritants?
(Jarvis, 2016).
How would you classify his cough based on the duration to help with the diagnosis?
A cough lasting over 3 weeks is considered to be chronic (Dunphy, Winland-Brown, Porter, & Thomas, 2015). Chronic coughs can be linked to a couple of different diagnoses. Some diagnosis that may cause a chronic cough include: postnasal drip linked to allergies, postinfection such as the flu causing a cough for 8 weeks, chronic bronchitis (COPD) is characteristic of a productive cough lasting for 3 months, asthma reactive airway associated with a dry cough, gastroesophageal reflux disease (GERD) cough caused by esophagus being irritated, medications such as ACE inhibitors, and environmental exposures can all produce a chronic cough (Dunphy et al., 2015).
What diagnostic tests do you want to include to help you with your diagnosis?
Some test that could be ordered to help correctly identify COPD would include a pulmonary function test or a more common test called spirometry. Spirometer measures how much air the patient can hold and how quickly it is exhaled (Mayo Clinic, 2018). A chest x-ray can reveal other causes of a chronic cough that include emphysema, infections, tumors and GERD (Mayo Clinic, 2018). Another test you can order to diagnosis GERD is an endoscopy (Hopper, 2015).
Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary care: Art and science of advanced practice nursing, 4th ed. Philadelphia, PA: FA Davis
Hopper, A. D. (2015). Improving the diagnosis and management of GORD in adults. The Practitioner, 259(1781), 27.
Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier.
Mayo Clinic. (2018). COPD. Retrieved from https://www.mayoclinic.org/diseases-conditions/cop…
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