According to SIGN (Scottish intercollegiate Guidelines Network), the initial assessment of children having asthma is based on two factors. These include the presence of key features in the history of examination as well as careful consideration of alternative diagnoses. The diagnosis of asthma is usually identifying a distinctive pattern of periodic respiratory signs and symptoms. The main symptoms of asthma in children include; wheeze, shortness of breath, chest tightness and cough. Particularly If these symptoms are frequent and recurrent, occur apart from colds, are worse in the night and early morning or are worse after a trigger e.g. exercise (which is the case with Holly). In this case study, Holly has presented a wide range of these
