Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• It's worse when she first gets up of a morning.
• Kind of a "hack," and it's non-productive (no sputum).
• It's a bit like a smoker's hacking cough.
• Neither parent smokes.
• Her aunt doesn't smoke.
• Julie is on no medication.
• She's been to daycare this week, but no one there is sick.
• Julie lives in a 4 year old house, and most of it is carpeted.
• The family owns a cat.
• Julie's parents are on a short Caribbean cruise, and have been gone three days.
• This is the first extended time her parents have been away.
• The aunt has a letter from the parents granting permission to seek medical care if Julie becomes ill.