USMLE Forum Archives - USMLE Step 2 CK - whats is the diagnosis
whats is the diagnosis
bingousmle - 05-01-10 14:53
A 33-year-old nonsmoking man presents to you for evaluation of his chronic cough. He says the cough has been present for about 8 weeks. Initially, he went to an urgent care where he received antitussives and a bronchodilator. Those did not help, and he returned 1 week later and was given a course of azithromycin. His cough has continued to persist. His symptoms are worse when he lies down for sleep, and are associated with a sore throat and a “sour” taste in the back of his mouth. He has also noticed that
when he drinks caffeine or alcohol, the cough seems to worsen. What is the most likely diagnosis?
a. Gastroesophageal reflux
b. Asthma
c. Side effect from a medicaiton
d. Chronic bronchitis
e. Pertussis
bingousmle - 05-01-10 14:53
A 33-year-old nonsmoking man presents to you for evaluation of his chronic cough. He says the cough has been present for about 8 weeks. Initially, he went to an urgent care where he received antitussives and a bronchodilator. Those did not help, and he returned 1 week later and was given a course of azithromycin. His cough has continued to persist. His symptoms are worse when he lies down for sleep, and are associated with a sore throat and a “sour” taste in the back of his mouth. He has also noticed that
when he drinks caffeine or alcohol, the cough seems to worsen. What is the most likely diagnosis?
a. Gastroesophageal reflux
b. Asthma
c. Side effect from a medicaiton
d. Chronic bronchitis
e. Pertussis
The correct answer and explanation will be available after you answer.
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#1
Re: whats is the diagnosis studentdoctor10 - 05-02-10 04:16 My answer is: a.
bitter taste is give away...but we cant rule out asthma...also one should not forget they coexists sometimes
#2
Re: whats is the diagnosis mtniharika - 05-02-10 06:16 My answer is: a.
Gastroesophageal reflux disease, commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause, cause esophagitis) of the esophagus
#4
Re: whats is the diagnosis
bingousmle - 05-02-10 15:16 My answer is: a.
Gastroesophageal reflux disease, commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause, cause esophagitis) of the esophagus
thats true..
#10
Re: whats is the diagnosis bingousmle - 05-18-10 01:07 
posted by studentdoctor10 on 05-02-10 04:16
[ANSWER a]
bitter taste is give away...but we cant rule out asthma...also one should not forget they coexists sometimes
[ANSWER a]
bitter taste is give away...but we cant rule out asthma...also one should not forget they coexists sometimes
yes but in this case the first choice to go for would be gastroesophageal reflux disease
#13
Re: whats is the diagnosis babbu5508 - 05-20-10 03:08 My answer is: a.
Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus.
less common symptoms are:
Cough or wheezing
Difficulty swallowing
Hiccups
Hoarseness or change in voice
#15
Re: whats is the diagnosis mtniharika - 05-25-10 04:36 posted by bingousmle on 05-02-10 15:16
[ANSWER a]
Gastroesophageal reflux disease, commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause, cause esophagitis) of the esophagus
thats true..
[ANSWER a]
Gastroesophageal reflux disease, commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause, cause esophagitis) of the esophagus
thats true..
ofcourse
#16
Re: whats is the diagnosis bingousmle - 05-25-10 06:53 posted by mtniharika on 05-25-10 04:36
ofcourse
ofcourse
good..
#27
Re: whats is the diagnosis rahmath - 05-10-12 23:08 My answer is: a.
the patient most likey having GERD induced cough
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