Miranda O. is an 11-year-old patient with asthma who has poor academic performance in her fifth-grade class. This was brought to the motherâ€™s attention by her teacher. She is disruptive in class and has difficulty paying attention. Her asthma is well controlled.
What is your differential diagnoses (3-4) with this patient and your presumptive diagnosis? What diagnostic tools might you do to confirm this?
Advair inhaler 100/50 1 puff INH BID
Proventil inhaler 2 puffs INH prn
Singulair 5 mg qHS
Physical Examination and labs: WNL