A 4-year-old boy presents to your ED with the chief complaint of wheezing. His past medical history is significant for asthma, with multiple ED visits. On your exam, you notice he is obese and drinking a large sippy cup filled with juice. When you review his vital signs, you note that he weighs 31 kg and has gained 1 kg since his last ED visit 2 weeks ago, which was for a similar complaint.
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