Paisley Ward iHuman Asthma (16 y/o with shortness of breath and cough)

Paisley Ward, a 16-year-old girl, came to the clinic complaining of a persistent cough lasting three weeks, accompanied by shortness of breath and chest tightness that began three days ago. She also reported nasal congestion but denied having a fever or night sweats. During the physical exam, her breathing was labored with an increased respiratory rate, and her oxygen saturation was measured at 94%. Lung auscultation revealed wheezing on both sides during expiration. Her medical history includes eczema and a recent upper respiratory infection. Paisley does not use tobacco or illicit drugs but is regularly exposed to second-hand smoke at home from her father.