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An afebrile 3 m/o present to you because of persistent cough. On PE; temp 37.8C/100F per rectum tachypnea, inspiratory rales, cough repetitive and dry, with inspiration between each single cough and bilateral conjunctivitis. The rest of the PE is unremarkable. X-ray bilateral pulmonary infiltration and air trapping. CBC reveals eosinophil: 550 cells/mm3.
Dx?
a)Cystic fibrosis
b)Ascariasis (larval phase)
c)Chlamydial pneumonia
d)RSV
e)Bronchiolitis
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@Rose;
A 5 m/o girl infant is brought to you with a 3 days history of wheezing, severe cough and respiratory distress. PE shows rhinitis, low oxygenation of blood and CO2 retention and fever note it. Few days later X-ray taken and reveals bilateral interstitial infiltrates with hyperexpansion. CBC reveals eosinophil: 379 cells/mm3?
Tell me whats most likely ethology infection here?
a) Rhinovirus
b) Parainfluenza virus
c) Adenovirus
d) Cytomegalovirus
e) Respiratory syncytial virus
f) Ascariasis (larval phase)
g) Chlamydial pneumonia
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This case look like Bronchiolitis (RSV)
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Yes that's yr RSV. Not 1st case. The 1st case infant present quite well & "A"febrile and Persistent cough that I describe rapid fire (STACCATO) and lab that demonstrate eosinophilia -> CHLAMYDIA PNEUMONIAE
You treated with erythro.
*C*
*E*
Correct.
________________________________________________________________________________Try the following Q not step1, worth to try.
Which of the following is indicated for the prevention of RSV in "high-risk" infants?
a) Vaccination against RSV
b) Prophylactic oral ribavirin
c) Rimantadine or oseltamivir
d) RSV-IVIG IV q 30 days
e) Palivizumab IV q 30 days
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Option d is the latest Rx I know from my medical school knowledge.but here in usmle study material did not see. That's why I choose eeE
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@cardio i have an idea . for 1st 6 month bay protected by motherIgG .during this time external IgG does not play any good role
