IHUMAN CASE STUDY
PEDIATRIC ASTHMA
EXACERBATION – BUDDY
THEODORE (BT) LATEST EXAM
WITH VERIFIED ANSWERS
UPDATE 2026
Patient Bio Data & History of Present Illness (HPI)
• Patient Identification: Buddy Theodore (BT) is a 5-year-old
male.
• Source & Reliability: Information is provided by his parent,
who is considered a reliable historian .
• Chief Complaint (CC): The parent reports, "My son is
coughing and having trouble breathing" .
• History of Present Illness (HPI): Buddy presents with a
two-day history of increased coughing, wheezing, and
shortness of breath that has worsened significantly on the
day of presentation. His mother reports that the symptoms
began after a recent upper respiratory infection
characterized by nasal congestion and runny nose. The
cough is notably worse at night and during physical activity.
He has been using his rescue inhaler more frequently than
usual, with minimal relief. His appetite is slightly decreased,
, but his fluid intake remains adequate. There is no reported
chest pain, cyanosis, vomiting, or diarrhea .
📋 Review of Systems (ROS), Past Medical History (PMH), and
Social History (SH)
• Review of Systems (ROS):
o Associated Symptoms: Wheezing, shortness of breath,
chest tightness, and nighttime cough .
o Denied Symptoms: Fever, vomiting, diarrhea, rash, and
lethargy .
• Past Medical History (PMH):
o Medical: Asthma, originally diagnosed at age 3. No
prior hospitalizations for asthma. No surgical history .
o Medications: Albuterol inhaler used on an as-needed
(PRN) basis. He is not on any daily controller
medication .
o Allergies: No known drug allergies (NKDA) .
o Immunizations: Reported as up to date for his age .
• Social History (SH): He lives with his family in a smoke-free
home. He attends school and his development is age-
appropriate. A key social determinant to address is ensuring
a smoke-free environment to prevent future triggers .
🩺 Physical Examination (PE) and Initial Assessment
The physical exam focuses on assessing the severity of the
respiratory distress.
PEDIATRIC ASTHMA
EXACERBATION – BUDDY
THEODORE (BT) LATEST EXAM
WITH VERIFIED ANSWERS
UPDATE 2026
Patient Bio Data & History of Present Illness (HPI)
• Patient Identification: Buddy Theodore (BT) is a 5-year-old
male.
• Source & Reliability: Information is provided by his parent,
who is considered a reliable historian .
• Chief Complaint (CC): The parent reports, "My son is
coughing and having trouble breathing" .
• History of Present Illness (HPI): Buddy presents with a
two-day history of increased coughing, wheezing, and
shortness of breath that has worsened significantly on the
day of presentation. His mother reports that the symptoms
began after a recent upper respiratory infection
characterized by nasal congestion and runny nose. The
cough is notably worse at night and during physical activity.
He has been using his rescue inhaler more frequently than
usual, with minimal relief. His appetite is slightly decreased,
, but his fluid intake remains adequate. There is no reported
chest pain, cyanosis, vomiting, or diarrhea .
📋 Review of Systems (ROS), Past Medical History (PMH), and
Social History (SH)
• Review of Systems (ROS):
o Associated Symptoms: Wheezing, shortness of breath,
chest tightness, and nighttime cough .
o Denied Symptoms: Fever, vomiting, diarrhea, rash, and
lethargy .
• Past Medical History (PMH):
o Medical: Asthma, originally diagnosed at age 3. No
prior hospitalizations for asthma. No surgical history .
o Medications: Albuterol inhaler used on an as-needed
(PRN) basis. He is not on any daily controller
medication .
o Allergies: No known drug allergies (NKDA) .
o Immunizations: Reported as up to date for his age .
• Social History (SH): He lives with his family in a smoke-free
home. He attends school and his development is age-
appropriate. A key social determinant to address is ensuring
a smoke-free environment to prevent future triggers .
🩺 Physical Examination (PE) and Initial Assessment
The physical exam focuses on assessing the severity of the
respiratory distress.
