Actual Comprehensive iHuman Case Study Week #4: : A 5 Year Old Patient Tommy Acker 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 C

Tommy Acker is a 5-year-old male brought to the pediatric clinic with complaints of persistent dry cough, audible wheezing, and shortness of breath for the past 24 hours. His symptoms worsened at night and after physical activity. His mother noted mild improvement following the use of a borrowed albuterol inhaler. There was no associated fever or recent illness. On physical exam, Tommy appeared mildly distressed, with intercostal retractions, tachypnea (RR 34), wheezing on auscultation, and oxygen saturation of 92% on room air. Vital signs were otherwise stable. Given his symptoms, family history of asthma, and positive response to bronchodilator therapy, asthma was the primary diagnosis. CHF was considered due to tachypnea and dyspnea but ruled out based on a normal cardiac exam, clear chest X-ray (no cardiomegaly), and absence of systemic signs like edema or hepatomegaly. Diagnostic tests including CBC, COVID-19 antigen test, and chest imaging were unremarkable. The patient was diagnosed with intermittent asthma, and management included prescribing albuterol MDI with a spacer, education on trigger avoidance, development of an asthma action plan, and scheduled follow-up. Emergency precautions and signs of worsening respiratory distress were also discussed with the caregiver.