Parents brought their 8-year-old daughter into the clinic because "she is not able to catch her breath". He reported that she had just recently recovered from a cold, but has continued to cough. She often coughs in fits with post-tussive emesis, will sometimes turn blue in the face, and makes a "gasping-like" noise when she tries to inhale after a coughing episode. Currently, she complains about a pain in her chest and shortness of breath. According to her father, the onset of these symptoms began "after one of those coughing fits this morning".
There is an ill contact in the house (a grandfather who has been coughing for the last 3 months). Physical Exam: VS T 37.1, HR 94, RR 28, BP 115/77, Oxygen saturation 93-95% in RA. Height is 50-75th %ile, and her weight and head circumference are both in the 10-25 percentile. She is sitting on the exam table, leaning forward, taking…
