The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pertussis, Adult or Adolescent
Paul B. Cornia, Adam L. Hersh, Benjamin A. Lipsky, Thomas B. Newman, Ralph Gonzales
Sections:
Clinical Scenario, Why Is the Clinical Examination Important?, Methods, Results, Scenario Resolution, Clinical Bottom Line, References
Topics Discussed:
bordetella pertussis bacterium, pertussis
Excerpt:
"A 73-year-old man presents to the clinic with a 3-week history
of paroxysmal cough. He denies fever, chills, headache, myalgias,
rhinorrhea, sore throat, hemoptysis, chest pain, dyspnea, orthopnea,
and paroxysmal nocturnal dyspnea. He has no inspiratory whoop but
acknowledges 2 episodes of posttussive emesis. Physical examination
findings of his heart and lungs are normal, as is a plain chest
radiograph result. How much do the clinical findings change the
likelihood that he has pertussis?..."
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