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The medical history will be obtained and a physical examination performed.
Medical history questions documenting wheezing in detail may include:
- When did the wheezing begin?
- How long does it last?
- Does it occur often? Daily?
- At what time of day does it occur?
- Is it worse at night or in the early morning?
- What does the wheezing sound like?
- Does it make breathing difficult?
- Does it require stopping all physical activity?
- Does it resolve without treatment?
- What seems to cause it?
- Eating certain foods?
- Taking certain medications?
- What makes it worse?
- Exercise?
- Stress?
- Exposure to pollens, insects, dust, chemicals (perfumes, cosmetics)?
- Exposure to cold air?
- Cold or flu?
- What helps relieve it?
- Rest?
- Medications such as bronchodilators?
- What other symptoms are also present?
- Is there a fever?
- Is there coughing?
- Is there swelling of the lips or tongue?
- Is there panic or confusion?
- Is there loss of voice?
- Is there loss of consciousness?
- Is there a bluish color to lips or nailbeds?
- Is there nasal congestion?
- Are there puffy, red eyes?
- Is there an insect bite?
- Has there been an episode of choking?
- Is there a history of asthma or allergies?
- What medications are being taken?
- Has there been exposure to tobacco smoke?
- Has there been a recent illness?
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