6541)Patient Demographics and Chief ComplaintPatient Name: Michael Martinez
Age: 18 months
Gender: Male
Height: 31 inches (79 cm)
Weight: 24 lbs (10.9 kg)
BMI: 16.2 (50th percentile for age)
Reason for Encounter: Cough
Accompanied by: Mother (Maria Martinez) The patient is an 18-month-old Hispanic
male presenting to the pediatric primary care clinic with his mother. The chief complaint
is a cough that began 2 days ago, associated with productive yellow sputum. The
mother reports a progression of symptoms over the past 5 days, including nasal
congestion, fever up to 102°F, difficulty breathing, and decreased appetite. The child
attends daycare and has been exposed to other ill children. He is up-to-date on
immunizations but has not received the current season's influenza vaccine. Family