A 6 year old female child that came to the clinic with accompanied by her mother complaining of cough since 8 weeks ago. The cough is triggered when she laugh or cry. Her cough get worse when she is exposes to cold air, exercise, and at night. Patient past medical history of mild eczema and chronic nasal congestion. No shortness of breath, wheezing or fever reported. She is currently talking no medications. No known allergies reported. On her examination she is not in acute distress. Positive findings during examination: nasal turbinates little pale and edematous. During lungs auscultation she had end- expiratory wheezing, but no use of accessory muscle of respiration. The child was born in India moved to United Stated when she was 1 year old. Her family recently moved to a new area, since that, she is complaining of worsening nasal congestion. The house has some carpets on the floor. She also has a dog in her house. Patient has a history of mother and cousins diagnosed with asthma. The primary diagnosis is asthma based on her past history, clinical presentation and family history.
Introduction
Should be a paragraph that provides a brief overview of the case and main diagnosis:
1-Asthma
Differential Diagnoses
Provide EACH differential diagnosis with the rationale and supporting evidence with the REFERENCE for each one. Also explain why differentials Viral pneumonia and sinusitis) were not the main diagnosis.
1- Asthma:
2- Viral pneumonia:
3- Sinusitis:
Diagnostics
Identify the lab, radiology, or other tests needed for Asthma with supporting evidence.
Treatment
Include the initial treatment plan for Asthma. It should include medication names, dosages, and frequencies
Education
Patient/family education in patient with asthma
