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Paisley Ward iHuman (NR 602 iHuman Week 3)
Paisley Ward iHuman features a 16-year-old female patient who presents with a persistent dry cough lasting three weeks, accompanied by shortness of breath and chest tightness that started three days ago. She also reports nasal congestion but no fever or night sweats.
Paisley Ward iHuman Physical Examination and History
Physical examination reveals an elevated and labored respiratory rate and reduced oxygen saturation at 94%. Bilateral expiratory wheezing is auscultated in the lungs, which points to airflow obstruction. Her medical history includes eczema and a recent upper respiratory infection, suggesting an underlying atopic predisposition. She does not use tobacco or illicit drugs but is exposed to second-hand smoke at home from her father, which could act as an environmental trigger for her respiratory symptoms.
The constellation of symptoms and signs strongly suggests an asthma exacerbation in a teenager with predisposing factors such as eczema and environmental smoke exposure. The wheezing and low oxygen saturation indicate airway inflammation and obstruction. The absence of fever reduces the likelihood of a bacterial infection.
Plan Management
Management would typically involve bronchodilators and inhaled corticosteroids to reduce airway inflammation and improve airflow. Avoidance of triggers like second-hand smoke is also crucial.
Paisley Ward iHuman Asthma (16 y/o with shortness of breath and cough)