History: This baby boy was brought to an outpatient office with a history of noisy breathing since birth. Symptoms have progressed over the last 4 months, with onset of continuous cough throughout the day. The patient has a previous ER visit for noted increased work of breathing, wheeze, cough and congestion. Patientâ€™s grandmother feels that the child gags with solids.
Birth History: Full term, 40 weeks with no complications. Vaginal delivery, patient went home in 7 days after hospitalization in NICU.
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