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 BOF 11

 

   

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BOF: 11

A 27-year-old female presents with a history of chronic cough. It is a dry cough that occurs mainly at night and is also related to exertion coming on when she goes jogging

There is no fever, no history of headaches, stuffy nose or postnasal drip. Review of systems does not elicit any further symptoms. She gives a history of bronchitis as a child. Her brother has eczema.

She does not smoke or drink and is not taking any medications.

She works as a secretary in a legal firm. She is unmarried.

On examination no abnormalities are detected. Routine haematology and biochemistry are within normal limits.

Lung function tests show:

FEV1 4.0  (3.6-4.2 predicted)

FVC 5.2  (4.5-5.4 predicted)

PEFR 470 (440-540)

In this patient which of the following tests would you arrange to ascertain the diagnosis?

a)      Lateral chest x-ray

b)      CT scan of chest

c)      Exercise test

d)      OGD

e)      CT paranasal sinuses

 

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