Respiratory history 4
Respiratory history 4
Written by Leya Bedar
Diagnosis:
COPD (progressive cough, SOB, age, family history of pulmonary disease, smoking history)
Other differentials:
Congestive heart failure (cough and exertional features and cardiovascular risk factors, but less likely due to no orthopnoea or paroxysmal nocturnal dyspnoea and much more gradual onset)
Bronchiectasis (due to productive cough, SOB, wheeze, but less likely due to no pleuritic chest pain, systemic features or identifiable risk factors)
Mark scheme for history taking can be found below
