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An 8-month-old girl was admitted to the emergency department of a secondary hospital for recurrent episodes of shortness of breath. She had been referred to the hospital by the general practitioner after 3 days of gradually worsening symptoms of difficult breathing, cough and expiratory wheeze. No medication had been given.

Clinical Examination
Physical examination on admission showed a well-developed, well-nourished infant. There were no congenital abnormalities. The patient had a normal weight and length.

• Temperature: 38,2ºC
• Blood pressure: 90/65 mmHg
• Heart rate: 140/min regular
• Respiratory rate: 65/minute with nasal flaring and intercostal retractions
• Pulse oximetry: 95% on room temperature

She was alert, but dyspneic. The nose contained copious clear mucus. Ear and oropharynx examination showed no inflammation. Lung auscultation revealed a prolonged expiratory phase with end-expiratory wheeze. There were normal heart sounds and no heart murmurs. Further physical examination showed no abnormalities.

On admission she received humidified oxygen by mask and intravenous saline infusion.

* Which information do you further require to get a good clinical picture of this infant? *