RT Book, Section A1 Smith, Mindy A. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164347289 T1 Asthma T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164347289 RD 2024/03/28 AB A 32-year-old Hispanic woman presents to your office with a chronic cough for 3 months. She states the cough is dry and started with a cold 3 months ago. She denies fever, chills, and night sweats. She has never been diagnosed with asthma or lung disease in the past. She has had persistent dry coughs that linger on after getting colds in the past. She is not sure what wheezing is but she has noticed a tight feeling in her chest at night with some whistling sound. On physical examination, her lungs are clear and she is moving air well. She is 5 feet tall and weighs 220 pounds, giving her a body mass index (BMI) of 43. Her peak expiratory flow (PEF) in the office is at 80% of predicted. Even though she is not wheezing, her history and physical exam are highly suspicious for asthma. You prescribe a short-acting β2-agonist rescue inhaler with spacer and order pulmonary function tests (PFTs). You have your nurse provide asthma education (including proper use of an inhaler) and suggestions for weight loss.