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Maryam is a 4-year-old girl with no significant medical diagnoses who presents to the emergency department (ED) for fever and cough. Upon presentation to the ED, her vital signs show that she is febrile with a temperature of 39.6 °C (103.3 °F), and her oxygen saturation is 86% on room air. She is placed on oxygen at 2 L/min via nasal cannula, which normalizes her saturations to 98%. Her oxygen requirement prompts the ED physician to request that you evaluate Maryam for admission.

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