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A 3 year old Hispanic boy with a past medical history of mild intermittent asthma is brought to the clinic by his mom who reports a chief complaint of increased wheezing for the past three days. She also reports a recent upper respiratory infection with cough, congestion, and runny nose with a low-grade fever of 100.8 degrees. She has been giving albuterol with a home nebulizer machine every 4-6 hours. The albuterol helped with the wheezing initially, but doesn't seem to help as much now.
1. What is your initial plan
2. Differential diagnoses
3. Diagnostics
4. Health promotion and anticipatory guidance.
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What is missing however is robust data to support the significance of the issue.
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