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Original Question

16 year old hispanic femal presents with persistent wheezing chest tightness shortness of breath and intermittent coughing that worsens during the night and physical activity. These have occurred consistently over the last month. maria wakes up gasping sevedible wheezing, mild intercostal retractions and a prolonged expiratory phase. several nights a week. Lives in a small poorly ventalated apartment with high pollution. household members smoke and use wood burning stove for heat, maria is worse in the common areas. Maria has audible wheezing, retractions, PEFT is 60 % nasal congestion and sore throat oxygen saturation of 94% on RA

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