Lucy is a 6-year-old female who was brought to the clinic for worsening shortness of breath and chest tightness which

Lucy is a 6-year-old female who was brought to the clinic for worsening shortness of breath and chest tightness which caused her parents to keep her home from school today. Her mother reports Lucy has had a cough for “weeks” without a fever, which was attributed to seasonal allergies. Lucy first reported feeling short of breath yesterday after school, at which time she was also noted to have a cough. Her mom could hear her wheezing. This morning, Lucy reported a tight feeling in her chest and more difficulty breathing. Lucy’s mother reports she has experienced similar symptoms in the past year, causing her to miss school, but they had attributed her symptoms to viral exposures in school or the cold weather. 2. Identify five differential diagnoses for this patient supported by a problem-based rationale.

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