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+--- Thread: Pedpulmoq5 - spartans1 (/showthread.php?tid=532929)
Pedpulmoq5 - spartans1 - ArchivalUser - 09-13-2010
A 6-month-old African-American girl is brought to the office in January for a well-child visit. She was born at 32 weeks' gestation after a pregnancy complicated by an incompetent cervix and premature labor. She has a 3-year-old brother. Her birth weight was 2700 g (6 lb). At birth, she had mild respiratory distress syndrome and required mechanical ventilation for 36 hours. She also has gastroesophageal reflux disease for which she is given ranitidine, daily. Vaccinations are up-to-date. Developmental milestones are appropriate for her adjusted chronological age. Two weeks later the girl is brought back by her mother because of a runny nose and difficulty breathing for the past 3 days. The mother says, "She's up every 2 hours now, and last night she had a fever. I think her brother picked up a cold from preschool and gave it to her. I can't keep him away from her." Vital signs now are temperature 38.5°C (101.3°F), pulse 144/min, and respirations 60/min. On physical examination she is alert but in mild respiratory distress with slight nasal flaring. Auscultation of the chest discloses fine expiratory wheezes bilaterally, and mild intercostal retractions. Which of the following is the most likely cause of the infant's illness?
A) Aspiration pneumonia
B) Asthma
C) Bronchopulmonary dysplasia
D) Mycoplasma pneumoniae
E) Respiratory syncytial virus
0 - ArchivalUser - 09-13-2010
eee
0 - ArchivalUser - 09-16-2010
BUMP
0 - ArchivalUser - 09-16-2010
EE
0 - ArchivalUser - 09-16-2010
RCV
treatment hospitalize, respiratory isolation , humidified oxygen and nebulized epinephrine
0 - ArchivalUser - 09-16-2010
RSV
treatment hospitalize, respiratory isolation , humidified oxygen and nebulized epinephrine