Comprehensive I-Human Case Study Week 4 (Nrnp 6541): 5-Year-Old Female

COMPREHENSIVE I-HUMAN CASE STUDY WEEK 4 (NRNP 6541): 5-YEAR-OLD FEMALE WITH COUGH & BREATHING DIFFICULTY DMS ABDOMEN EXAM 5 (2025/2026) | FIRST-ATTEMPT SUCCESS GUIDE5-Year-Old Female with Cough & Breathing Difficulty Class 6541 - DMS Abdomen Exam 5 - 2025/2026 Edition I. PATIENT PROFILE & PRESENTATION A. Demographics & Setting Age: 5 years, 3 months Gender: Female Ethnicity: Caucasian Setting: Pediatric Urgent Care (Sunday, 2:30 PM) Accompanied by: Mother (primary caregiver) Time of Year: Late fall (November) B. Chief Complaint & History of Present Illness "Cough and trouble breathing for 2 days" Symptom Timeline: Day 1 (Friday): Developed dry cough after returning from preschool Day 2 (Saturday): Cough worsened, began wheezing, mild shortness of breath during play Current (Sunday): Symptoms escalated overnight; audible wheeze at rest, increased work of breathing Detailed Symptom Analysis: 1. Cough Characteristics: o =nitially dry, now occasionally productive o Worse at night (woke up 3 times last night) o Worse with exertion, crying o No post-tussive emesis 2. Respiratory Symptoms: o Wheeze: :igh-pitched, musical, primarily expiratory o Dyspnea: Present at rest, worsens with minimal activity o Chest tightness: Child describes as "my chest feels funny" o No cyanosis observed by parent3. Associated Symptoms: o Constitutional: Mild fatigue,