You are working as a new family

You are working as a new family nurse practitioner at a rural family practice clinic, and you see a 3-year-old, 33 lb. female patient brought to the clinic by her mother. Her mother states she had an upper respiratory infection a couple of weeks ago which has improved, but now she has a persistent cough. She has also been tugging at her right ear for the past three days. She has a PMH of ventricular septal defect. She lives at home with her parents. She attends daycare three days a week. She has no known drug allergies. What additional subjective and objective information do you need to formulate your primary diagnosis? What are two differential diagnoses, one cardiac and one respiratory, based on this case scenario

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