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Asthma is a chronic respiratory disease characterized by airway inflammation and obstruction with a recurrent, reversible pattern of symptoms. The prevalence of asthma among American children is 7%, with significant racial, ethnic, and socioeconomic disparities. Acute asthma exacerbations (AAEs) and status asthmaticus, defined as a life-threatening asthma exacerbation with risk for respiratory failure, are among the leading causes of pediatric hospitalizations.

In a patient with a known history of asthma, focus the initial history on the frequency and severity of prior exacerbations, compliance with controller medication use, need for oral steroids within the past 12 months, history of food and...

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