An obese middle-aged client presents with a month of nonproductive irritating cough without fever.He also reports occasional morning hoarseness.What should the differential include?

Question

Quizplus · Accepted Answer

The symptoms of nonproductive irritating cough and morning hoarseness are suggestive of gastroesophageal reflux disease (GERD), which is more common in obese individuals. Peptic ulcer disease and atypical pneumonia are less likely given the absence of fever and other associated symptoms. Mononucleosis is also less likely given the lack of symptoms such as fatigue, sore throat, and lymphadenopathy.

An Obese Middle-Aged Client Presents with a Month of Nonproductive