History A 26-year-old woman has persistent cough. She wants to have a second course of antibiotics because an initial course of amoxicillin made no difference. The cough has troubled her for 3 months since she moved to a new place. The cough is now disturbing her sleep and making her tired during the day. The cough is troublesome when going out to the playground and on jogging for sports coaching. In her medical history, she had her appendix removed 3 years ago.
She had her tonsils removed as a child and was said to have recurrent episodes of bronchitis between the ages of 3 and 6 years. She has never smoked and takes no medication other than an oral contraceptive. Her parents are alive and well and she has two brothers, one of whom has hay fever. Examination The respiratory rate is 18/min. Her chest is clear and there are no abnormalities in the nose, pharynx, cardiovascular,…