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Describes asthma severity as "not full attack," bu worse than usual Reports asthma has been interfering with activitie of daily life Asked about character of symptoms Reports recent wheezing Reports chest tightness Denies chest pain Asked about cough Reports cough Cough has persisted since original asthma exacerbation 2 days ago Describes cough as "dry" Describes cough as "small" and not severe Reports cough slightly relieved by drinking water Has not treated cough with medication or home remedies Asked about aggravating factors Reports symptoms worse at night Reports symptoms increase when lying flat on back Reports symptoms aggravated by movement Confirmed use of medications Confirms medications (no new medications reported) Followed up about inhaler use Uses an inhaler to treat asthma symptoms Inhaler is Proventil Reports most recent inhaler use was this morning Reports using inhaler every 4 hours or so since exacerbation Prescribed usage is 2 puffs Reports needing more than 2 puffs to resolve asthma symptoms Confirmed allergies Confirms allergies (no new allergies reported) Followed up on exposure to allergy and asthma triggers Reports cat allergy triggered recent episodes Reports dust as a known trigger Reports activity such as walking up stairs as a known trigger Denies seasonal pattern Denies changes in weather as a trigger Reports minimal exposure to asthma triggers at work Asked detailed questions about asthma history No current asthma doctor Diagnosed with asthma in childhood Age of diagnosis was 2 1/2 years old Asked about hospitalizations for asthma Reports prior hospitalizations for asthma Reports last hospitalization was age 16 Estimates 5 total hospitalizations for asthma Reports she has never been intubated