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Patient Presentation:
This patient with 35 year history of asthma presented to the Emergency Department with shortness of breath that had started twenty minutes earlier. He was able to speak, but in short sentences only; and he was clearly anxious. His vital signs were as follows: temperature 37.2°, respiratory rate was 24 breaths per minute and blood pressure was 123/78. On physical examination, chest auscultation revealed scattered wheezes but no observation of diminished breath sounds.
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