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Questions and Answers
What is the primary diagnosis for the 11-year-old male patient?
Acute asthma exacerbation due to seasonal allergies.
What were the peak expiratory flow rate (PEFR) values before and after treatment with Albuterol?
Initial PEFR values were in the 200 range and improved to 250 after treatment.
How often is Albuterol prescribed for this patient, and what is the dosage?
Albuterol is prescribed 2 puffs every 4 hours, as needed.
What additional medication is the patient prescribed and for how long?
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What follow-up plan is recommended for this patient?
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Study Notes
Patient Information
- 11-year-old male patient presenting with worsening cough for three days
- Cough worsens with activity
- Reports reduced peak expiratory flow rates
- History of asthma, currently using Albuterol MDI
- No allergies mentioned
Examination Findings
- Moderate respiratory distress observed
- Weight: 81 lbs
- Pulse: 64
- Respiratory Rate: 24 breaths per minute
- Temperature: 100.4 degrees Fahrenheit
- Examination of head, eyes, ears, nose, and throat (HEENT): Pupils are equal, round, and reactive to light, with accommodation (PERRLA); tympanic membranes are clear bilaterally; nose is congested with rhinorrhea; oropharynx shows mild erythema.
- Neck is supple with full range of motion (ROM).
- Lungs: Bilateral wheezing, predominantly in the left lower lobe
- Heart: Regular rate and rhythm, without gallop or murmur
- Abdomen: Bowel sounds are present, soft, and non-tender
- Peak Expiratory Flow Rates (PEFR): Initial values were in the 200 range. After Albuterol nebulizer treatments, they improved to 230, 240, and 220, and subsequent treatment improved it further to 250.
- Pulse Oximetry: 97%
- Other findings: Loose stools the day before, reduced appetite, and nasal allergy symptoms
Diagnosis and Treatment Plan
- Diagnosis: Acute asthma exacerbation due to seasonal allergies
-
Treatment:
- Albuterol 2 puffs every 4 hours, as needed
- Prednisone 40 mg daily for 3 days
- Follow-up appointment with the primary care doctor in three days
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Description
This quiz focuses on understanding the assessment of an 11-year-old male patient presenting with worsening asthma symptoms. It includes evaluation of clinical findings, peak expiratory flow rates, and examination results related to respiratory distress. Test your knowledge on diagnosing and managing pediatric asthma cases effectively.
