frank100
Forum Guru
Topics: 48
Posts: 586
|
A3 month old boy is brought to the physician in January because of dificulty breathing, clear nasal discharge and cough for 24 hours. t: 37.6, BP: 88/54, pulse: 168, and respirations are 60. Bilateral wheezing, prolongued expiration, and a grade 2/6 systolic murmur along the left sternal border are heard. The liver is palpated 3cm below the right costal margin. An x-ray film of the chest shows bilateral hyperinflation and no cardiomegaly. Which of the following is the most likely diagnosis?
a) Adenovirus pneumoniae
b) Congestive heart failure
c) Influenza A virus pneumoniae
d) RSV bronquiolitis
e) Staphilococcal pneumoniae
f) Status asmaticus
|
| mazinger
Forum Guru
Topics: 46
Posts: 920
|
I havent reviewed pediatrics yet, but I go for RSV bronquiolitis... Frank, guys any opinions...
___________________
original mazinger z
|
| drhyd
Forum Senior
Topics: 7
Posts: 82
|
me too rsv bonchiolitis.
a, c, e show infiltartions and consolidations, not hyper inflation.
|
| drhyd
Forum Senior
Topics: 7
Posts: 82
|
liver and spleen may be palpated if there is hyperinflation,
chf we need other findings on examination.
status? will it be there for more than 24 hrs?
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
(d) too
|
|
| |
| | | | | |
