In upper airway cough syndrome, which physical finding may be present?

• A. Hemoptysis
• B. Clubbing
• C. Pleural rub
• D. Swollen turbinates

Answer: (D)

Upper airway cough syndrome arises from inflammation of the nasal passages with postnasal drip driving the cough. On physical exam, nasal mucosal edema is common, so swelling of the turbinates reflects this nasal inflammation and the drainage that contributes to the cough. Hemoptysis, clubbing, or a pleural rub point to issues in the lower airway or pleura and are not typical of this condition. Thus swollen turbinates are the expected finding.