Unwell...

Me as a patient:

I've not been feeling great for the past one week. My cough, which I have been having for almost 3 weeks now, has gone worst such that it has become a productive one, yellow greenish phlegm but no blood. I've been feeling nauseous and vomiting after every coughing episodes. Today, for once, I feel dehydrated. And to make things worst, I got gastric some more after all that vomiting. Didn't think the coughing will go this bad. Could it be the weather? A doctor, who was once my lecturer, told me that it might be a mild asthma...:S erks, my asthma is back? No fever what-so-ever neither do i'm in pain.

Me as a medical student, analysing:

• Main Presenting Complain - 1) coughing episodes 2) Vomiting
• Onset - 3/52
• Character - productive (1/52) with yellow green sputum, no hemoptysis
• Radiation - no chest pain
• Associated Symptoms - 1) Nausea & Vomiting 2) Gastric pain
• Timing - on and off
• Exacerbating Factors - Worst on exertion, at nights, early morning and on exposure to very cold weather
• Relieving Factors - Didn't take anything to relieve, cough relieves on resting
• Severity - it affects my sleep

History of PC

• No previous hx of similar complain
• 4 weeks ago - Had sorethroat, cold and mild fever that last for a week

Further History

• Vomiting - no blood, vomitus of previous meal, variable amount depending on severity of coughing episodes
• Gastric - usually happens after the coughing fit and vomiting episodes, of moderate severity, still able to walk and do work
• No sore throat, chest pain, hemoptysis, no fever

Medical History

• Previous hx of asthma since child, resolves as I age
• Hormonal Imbalance disorder
• No allergies except to prawns :(

Past Surgical History

• No previous operation

Drug History

• Didn't take anything for the cough or other symptoms
• No drug allergies
• On hormonal therapy

Family History

• FH of DM, HTN, Asthma, Eczema

Social History

• Doesn't smoke or drink
• No pet
• Cough has been affecting my sleep, sometime disturbing what I was doing

ICE

• Ideas - Thinks it's mild asthma triggered by the cold weather, and the vomiting episodes could be due to gastric pain which can be worsened by the coughing fit
• Concern - fear that it might be more than just asthma and if it is asthma, hope it won't be serious
• Expectation - that it will soon be gone, and i know, i have to get anti-tussives meds

Soo..if there's any medical student, jnrs, snrs, doctors, anyone who can help me hypothesise and diagnose my problem, please do leave me a comment/msg yea :D

I shall now get some rest~