Wheezing

HISTORY:

Wheezing for ‍ ‍hoursdays

Severity: ‍mildmoderatesevere

Pattern: ‍constantintermittent

Worsening factors: ‍none

Treatments tried: ‍noneinhalers, ‍effectiveineffective

‍cough, ‍non-productiveproductive

‍sputum, ‍clearcolored

‍shortness of breath

‍chest tightness

‍chest pain

‍sore throat

‍hoarseness

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍fatigue



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Nose: ‍normal

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions



ASSESSMENT:

‍Asthma ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Chest X-ray

- Pulmonary function tests

- Allergy testing

- ‍Short-acting bronchodilators (SABAs)

- ‍Inhaled corticosteroids (ICS)

- ‍Combination inhalers with ICS

- ‍Montelukast

- ‍Antihistamines

- Oxygen therapy if SpO2 < 92%

- Ensure proper inhalation technique and spacer use

- Smoking cessation counseling

- Referral to pulmonologist

- Follow-up in ‍ ‍daysweeksmonths

- Return if wheezing worsens or if new symptoms develop such as chest pain, shortness of breath, or fever