Nothing to Cough At -- A 73-year-old man presented to the emergency department with a 4-day history of nonproductive cough that worsened at night

doi:10.1056/NEJMcps062357

Volume 357:1432-1437		October 4, 2007		Number 14

Nothing to Cough At — A 73-year-old man presented to the emergency department with a 4-day history of nonproductive cough that worsened at night

Paul B. Cornia, M.D., Benjamin A. Lipsky, M.D., Sanjay Saint, M.D., M.P.H., and Ralph Gonzales, M.D., M.S.P.H.

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In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 73-year-old man presented to the emergency department witha 4-day history of nonproductive cough that worsened at night.He did not have fever, chills, headache, myalgias, rhinorrhea,nasal congestion, sore throat, hemoptysis, chest pain, or dyspnea.

Upper or lower respiratory tract infections (i.e., pneumonia,bronchitis, rhinosinusitis, and nonspecific upper respiratoryinfection) account for the majority of cases of acute cough(lasting . . . [Full Text of this Article]

Commentary

Source Information

From the Primary and Specialty Medical Care Service, Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine — both in Seattle (P.B.C., B.A.L.); the Ann Arbor Veterans Affairs Medical Center and the Department of Internal Medicine and Patient Safety Enhancement Program, University of Michigan Health System — both in Ann Arbor (S.S.); and the Division of General Internal Medicine, Department of Medicine, University of California at San Francisco, San Francisco (R.G.).

Address reprint requests to Dr. Cornia at the Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way (S-111), Seattle, WA 98108-1597, or at paul.cornia@med.va.gov.

Related Letters:

Nothing to Cough At
Lurie P., Cornia P. B., Lipsky B. A., Gonzales R.
Extract | Full Text | PDF
N Engl J Med 2008; 358:857, Feb 21, 2008. Correspondence

This article has been cited by other articles:

Lurie, P., Cornia, P. B., Lipsky, B. A., Gonzales, R. (2008). Nothing to Cough At. NEJM 358: 857-857 [Full Text]

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