She has no allergies. Kelly s physical exam reveals an ill appearing and fatigues but non toxic looking adolescent. Her respiratory rate is 28 bpm and not labored. Crackles are auscultated in the mid-left side while wheezes are auscultated throughout. There is a prolonged expiratory phase .
Skin is clear, warm, dry and without lymphadenopathy.
Mucous membranes are moist and pink. Pharynx is without exudate. Abdomen is soft and non tender. There is no hepatosplenomegally.