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codes for1. Respiratory distress exacerbated by asthma (â–  Figure 5-3) 2. Viral upper respiratory infection Procedures: None History: This is a 12-year-old white boy who came into the emergency department complaining of moderate-to- severe respiratory distress for the whole day of August 10. The patient is a known asthmatic for the past seven years, who woke up Saturday morning with “the worst attack” he has ever had. The patient said he could barely breathe all day, until he came to the emergency department at Chil- dren’s Medical Center and received three albuterol and steroid respiratory treatments. The patient has tried Primatene mist in the past without good control of his asthma. He said he had only had one other episode like this in the past, which was about two years ago, but it was not this severe. The patient was on Ventolin prn, for his known asthma and minor flare-ups, but he had run out, and did not have any on Saturday. Triggers for asthmatic attacks in this patient are exercise, nervousness, hot water baths, viral illnesses, and cats. On admission, the patient had a runny nose, cough, and watery eyes that he said began about two days before
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