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PEDS COUGH – URI

 year old presenting with cough. Patient is afebrile. Presentation consistent with uncomplicated viral URI given classic history and physical exam, positive sick contacts, and well-appearing child . No warning signs of systemic infection (fevers, tachypnea) to suggest pneumonia, and lung sounds clear on exam. No photophobia or neck stiffness/pain to suggest meningitis. No rash. No clinical evidence of dehydration and child is taking excellent PO and making multiple wet diapers per day. Patient has attentive parents and good follow up.



Plan: Discharge to home with strict return precautions, encourage PO hydration, return to clinic/ER in 48 hours if no improvement



from natedotphrase.com

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