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Differential Diagnosis for Nasal Congestion and Cough Over a Week

Single Most Likely Diagnosis

  • Viral Upper Respiratory Tract Infection (URTI): This is the most common cause of nasal congestion and cough, often lasting more than a week. The symptoms are typical for a viral infection, which is usually self-limiting.

Other Likely Diagnoses

  • Allergic Rhinitis: Prolonged exposure to allergens can cause chronic nasal congestion and cough, especially in individuals with a history of allergies.
  • Acute Sinusitis: An infection of the sinuses can present with nasal congestion, cough, and facial pain, often following an upper respiratory infection.
  • Asthma: Cough and wheezing can be symptoms of asthma, especially if triggered by respiratory infections or allergens.
  • Chronic Obstructive Pulmonary Disease (COPD): In smokers or individuals with a history of lung disease, a chronic cough can be a symptom of COPD.

Do Not Miss Diagnoses

  • Pneumonia: Although less common, pneumonia can present with cough and should be considered, especially in vulnerable populations like the elderly, young children, or those with compromised immune systems.
  • Pertussis (Whooping Cough): A highly contagious bacterial infection that can cause a persistent cough, often with a characteristic whoop sound.
  • Tuberculosis (TB): A chronic infection that can cause cough, among other symptoms, and is crucial to diagnose due to its public health implications and the need for specific treatment.
  • Lung Cancer: Though rare, a persistent cough can be an early symptom of lung cancer, particularly in smokers or those with a history of smoking.

Rare Diagnoses

  • Cystic Fibrosis: A genetic disorder that can cause chronic respiratory infections and cough, typically diagnosed in childhood but can be missed until adulthood.
  • Bronchiectasis: A condition characterized by damaged airways, leading to chronic cough and recurrent infections.
  • Sarcoidosis: An autoimmune disease that can affect the lungs, causing cough and other respiratory symptoms.
  • Foreign Body Aspiration: Although more common in children, adults can also accidentally inhale objects, leading to persistent cough and respiratory issues.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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