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A 63-year-old woman presents with a 1-year history of a chronic dry cough, associated with a sensation of “irritation” in the throat. Prolonged bouts of coughing are associated with stress urinary incontinence and occasionally end with retching and vomiting. The cough is triggered by changes in temperature, strong smells (e.g., the smell of cleaning products), laughing, and prolonged talking. She has no notable medical history, reports being otherwise well, and does not smoke. She has been prescribed a bronchodilator and inhaled and nasal glucocorticoids, but has had no benefit from any of these. The results of a physical examination, chest radiography, and spirometry are normal. How would you further evaluate and manage this condition?
Laryngeal Nerves, Middle Aged, Asthma, Diagnosis, Differential, Antitussive Agents, Cough, Chronic Disease, Gastroesophageal Reflux, Humans, Female, Sinusitis, Rhinitis
Laryngeal Nerves, Middle Aged, Asthma, Diagnosis, Differential, Antitussive Agents, Cough, Chronic Disease, Gastroesophageal Reflux, Humans, Female, Sinusitis, Rhinitis
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 96 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 1% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |