In the ED, their vitals/exam are as above. Differential includes asthma exacerbation, PNA, viral URI. Lower suspicion for PE as patient without pleuritic CP or LE signs of DVT including no edema/unilateral swelling/calf pain. Lower suspicion for primary cardiac etiology given EKG and lack of hypervolemia on exam. No history to suggest foreign body aspiration.
– Labs/Tests: Flu swab, COVID swab
– Imaging: CXR***
– Treatments: Duonebs PRN, Prednisone 60mg. Consider IVF and Magnesium 2g IV if not improving with Duonebs
– Consults: None
– Dispo: Pending further testing and symptomatic improvement