Cough with normal lung exam

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Lung examChoose any

VitalsChoose any

AssessmentChoose one

Follow-upChoose one

Counseling

The lungs sound clear today and there are no signs of pneumonia or wheezing. A cough after a cold can last a few weeks or longer.

Supportive careChoose anyParagraph

Counseling

Cough and cold medicines are not recommended for children younger than 4 years. Return precautions given including fast or hard breathing, pulling in at the ribs, fever that lasts or returns after it was gone, poor drinking, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Cough with normal lung exam
• Lungs clear to auscultation without wheeze, crackles, focal findings, or increased work of breathing
• Respiratory rate normal for age
• Oxygen saturation 95% or higher on room air
• No evidence of pneumonia or asthma exacerbation
• Follow up if not improving in 1-2 weeks or with new concerns

The lungs sound clear today and there are no signs of pneumonia or wheezing. A cough after a cold can last a few weeks or longer. Recommended supportive care with OTC medications as needed with an emphasis on hydration, honey for cough in children 1 year and older, and a cool-mist humidifier. Cough and cold medicines are not recommended for children younger than 4 years. Return precautions given including fast or hard breathing, pulling in at the ribs, fever that lasts or returns after it was gone, poor drinking, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Normal saturation, afebrile
Supportive care; honey 1 year and older
Cough remedies lack evidence

Return precautions in the template

fast or hard breathingpulling in at the ribsfever that lasts or returns after it was gonepoor drinking

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.