Complaints of chronic cough-shortness of breath

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This is an established patient who presents with complaints of a chronic cough, shortness of breath, and a low-grade fever for 2 days. She also states that she has had some chest discomfort and chest congestion. She states she has had a "very bad cold" for the past 2 weeks. She had a history of asthma and has been using her rescue inhaler more often in recent days. Past Medical History: The patient has a history of asthma for the past 40 years which has been controlled by use of medication. Medications: Flovent inhaler 2x per day, Proventil inhaler 2 puffs every 4 hours as needed. Physical Examination: This is a well-nourished female in moderate respiratory distress. Neck is supple without palpable masses. Trachea is midline. Chest with faint wheezing on expiration throughout. Pulse ox is at 94% on room air. Examination of the heart shows no murmurs, gallops, or rubs. Abdomen is soft and non-tender.

Reference no: EM133689029

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