History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Relevant Next Steps
Test Result 1
Relevant Next Steps 2
Test Result 2
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
Question 4
About the Case
Cough in a 2-yr-old Boy
Past Medical History
Medical history
: Full-term, normal delivery. The boy has been healthy since birth except for two episodes of wheezing; each required a short course of bronchodilators but no daily treatment.
Surgical history
: None
Medications
: None
Allergies
: None
Family history
: Mother has mild, well-controlled asthma; father is healthy.
Social history
: The child lives with his mother, father, and pet dog. The child’s vaccinations are up to date.
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