2026 Summary Focused Exam: Asthma Exacerbation Gabriel Martinez
(Care Plan)
,I. FULL CASE STUDY
A. PATIENT DEMOGRAPHICS
Demographic Detail
Name Gabriel Martinez
Age 8 years old
Sex Male
Date of Birth February 4, 2015
Race/Ethnicity Hispanic
Setting Emergency Department
Reason for Encounter Respiratory distress, asthma exacerbation
Escort Mother brought him to ED
B. HISTORY OF PRESENT ILLNESS (HPI) — OLDCARTS Format
,Component Findings
Onset Symptoms began approximately 4 hours ago
Location Chest/respiratory
Duration 4 hours, progressively worsening
Character Shortness of breath, wheezing, chest tightness, coughing
Aggravating Factors Exercise (playing kickball at after-school program triggered episode)
Relieving Factors Albuterol (partial relief), sitting upright
Radiation None
Timing Acute onset 4 hours ago; symptoms worsening
Severity Moderate asthma exacerbation (initial PAS score 9)
Associated Symptoms Tachycardia, tachypnea, expiratory and inspiratory wheezing, chest soreness
Chief Complaint (CC):
"Mom brought Gabriel in for signs and symptoms of respiratory distress."
History from Mother:
Gabriel is an 8-year-old male brought to the Emergency Department by his mother for
, experiencing symptoms of an asthma exacerbation that began 4 hours ago after playing
kickball at his after-school program. He has been experiencing difficulty breathing,
wheezing, and chest tightness.
C. PAST MEDICAL HISTORY (PMH)
Condition Details
Mild Asthma Diagnosed; currently experiencing exacerbation
No Other Medical History Otherwise healthy
Past Surgical History (PSH):
• None
Allergies:
• No known allergies (NKA)
Medications:
(Care Plan)
,I. FULL CASE STUDY
A. PATIENT DEMOGRAPHICS
Demographic Detail
Name Gabriel Martinez
Age 8 years old
Sex Male
Date of Birth February 4, 2015
Race/Ethnicity Hispanic
Setting Emergency Department
Reason for Encounter Respiratory distress, asthma exacerbation
Escort Mother brought him to ED
B. HISTORY OF PRESENT ILLNESS (HPI) — OLDCARTS Format
,Component Findings
Onset Symptoms began approximately 4 hours ago
Location Chest/respiratory
Duration 4 hours, progressively worsening
Character Shortness of breath, wheezing, chest tightness, coughing
Aggravating Factors Exercise (playing kickball at after-school program triggered episode)
Relieving Factors Albuterol (partial relief), sitting upright
Radiation None
Timing Acute onset 4 hours ago; symptoms worsening
Severity Moderate asthma exacerbation (initial PAS score 9)
Associated Symptoms Tachycardia, tachypnea, expiratory and inspiratory wheezing, chest soreness
Chief Complaint (CC):
"Mom brought Gabriel in for signs and symptoms of respiratory distress."
History from Mother:
Gabriel is an 8-year-old male brought to the Emergency Department by his mother for
, experiencing symptoms of an asthma exacerbation that began 4 hours ago after playing
kickball at his after-school program. He has been experiencing difficulty breathing,
wheezing, and chest tightness.
C. PAST MEDICAL HISTORY (PMH)
Condition Details
Mild Asthma Diagnosed; currently experiencing exacerbation
No Other Medical History Otherwise healthy
Past Surgical History (PSH):
• None
Allergies:
• No known allergies (NKA)
Medications:
