Johnny, an 8-year-old boy, was admitted to the hospital last night with an exacerbation of childhood asthma and a viral upper respiratory infection (URI). Dr Green is the attending hospitalist who provided and reported the initial hospital care service. The following day, Dr Green reviews the patient chart, noting oxygen saturation, peak flow, and chest radiograph results. He visits Johnny and obtains an expanded problem-focused interval history and performs a detailed examination. Johnny and his parents are counseled that with continued improvement, Johnny may be discharged later that day or the next. Dr Green also counsels about the need to continue medications and follow a revised asthma care plan after discharge. Assessment is resolving acute exacerbation of moderate persistent asthma and URI with improving respiratory score. The plan involves a continued monitoring of respiratory score and reduction of albuterol inhaler use according to asthma protocol when patient achieves appropriate respiratory...

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