MDM //

The patient is well appearing, nontoxic, and now afebrile. Lungs are clear and inconsistent with a bacterial pneumonia. There is no hypoxia to suggest pneumothorax and lungs sounds are heard bilateral. No wheezing to suggest asthma exacerbation or copd exacerbation. The patient does not clinically have any CHF symptoms such as orthopea or PND. Low risk for a pulmonary embolism given exam and history. No typical chest pain to suggest acute coronary syndrome. There is no upper airway distress, no stridor, not peritonsillar abscess or retropharyngeal abscess or epiglottitis. This is likely a viral process that will improve with time. Treatment for this condition is supportive including decongestants, motrin if the patient prefers.



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