8yo boy here for asthma review. Mum reports 2 night-time coughs in the past week, 1 daytime wheeze during football. Adherent to Seretide. No ED visits.

Alert, playful. No respiratory distress. RR 20. SpO2 98%. Bilateral wheeze on forced expiration. Growth tracking along 50th centile.

Mild drift in asthma control — likely seasonal/exercise-induced.

Continue Seretide. Add salbutamol 15 min pre-football. Reinforce trigger avoidance (dust). Peak-flow diary. Review in 8 weeks.