Actual Comprehensive iHuman Case Study Week #4: : A 5 Year Old Patient with Cough and Trouble Breathing ( Class 6541) | Complete Analysis with All Sections for Guaranteed High Score in iHuman Case Study of a 5 Year Old Patient Diagnosed with Cough and Tro

Tommy Acker is a 5-year-old male who presented to the pediatric clinic with a 24-hour history of dry cough, wheezing, and shortness of breath, worsening at night and with activity. His mother reported mild improvement after borrowing a relative’s albuterol inhaler. He had no fever or chest pain, and this was not his first episode of breathing difficulty. Tommy’s physical exam revealed bilateral wheezing, intercostal retractions, tachypnea (RR 34), and mild hypoxia (SpO₂ 92%). His chest X-ray was normal, CBC was within normal limits, and he tested negative for COVID-19. A positive response to bronchodilator therapy confirmed reversible airway obstruction. Given his symptoms, family history of asthma, environmental exposure to smoke, and therapeutic response, he was diagnosed with intermittent asthma. Management included prescribing an albuterol inhaler with spacer, education on trigger avoidance, provision of an asthma action plan for home and school, and a follow-up visit in two weeks. Emergency precautions and signs of exacerbation were discussed, and long-term care planning would depend on symptom frequency and control.