Description

KR is a 16-year old female who presents with complaints of a cough and shortness of breath, Cough started 3 weeks ago with a runny nose and congestion which has subsided. Cough is dry and no sputum noted. She reports increasing SOB with minimal exertion x3 days. On exam she is hypoxic at 94%, tachypneic, respirations are labored, expiratory wheezes are heard throughout, and subcostal retractions are present. Pertinent negatives include afebrile, lung fields resonant and not hyper-resonant, and no lymphadenopathy. Known exposure to cockroaches and secondhand smoke due to neighbors smoking inside the housing building. PMH of eczema well controlled.