Describe your differential diagnosis list and identify your most likely primary diagnosis.

timer Asked: Nov 1st, 2015

Question description

Please no introduction page. Move straight to the presenting problem and evidence provided, and answer the question that follows. Please provide two evidence based references APA style from 2010-2015.


Case study scenario

Marissa is a 7 year old female coming to the clinic with increased wheezing, coughing, and difficulty breathing. She was diagnosed with asthma 2 years ago. She uses an albuterol inhaler to manage her symptoms and has been using it regularly 3 – 5 times a day for the past 3 months. Medications include Albuterol HFA 2 puffs Q4H prn. Children’s multivitamin QD. Children’s chewable Vitamin C tablet QD. Allergies: NKDA ROS: A 14 point review of systems was negative except what is noted above.

Physical examination:

  GEN: well-developed child in mild distress at visit. VS: BP 121/78, HR 94, RR 16, T 98.5 CHEST: wheezing on inspiration and expiration HEENT: normal COR: normal ABD: normal NEURO: normal EXT: normal


Describe your differential diagnosis list and identify your most likely primary diagnosis. Thereafter describe your next steps diagnostically and in the way of medication changes in detail.

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