dr_jojo
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. A 5-month-old boy is brought to the physician
because of a
24-hour history of fever, cough, noisy breathing, and
difficulty feeding.
His symptoms began 3 days ago with nasal discharge,
mild cough, and
chest congestion. He appears somewhat irritable and
is crying. His
temperature is 38.5 C (101.3 F), pulse is 108/min, and
respirations are
32/min and shallow with a prolonged expiratory phase.
On examination, the
throat appears normal. A few small anterior and
posterior cervical
nodes are palpable. Both eardrums are pink but have
normal landmarks and
mobility. There is good air entry with diffuse
bilateral expiratory
wheezes on auscultation. An x-ray film of the chest
shows hyperinflation.
Which of the following is the most likely pathogen?
A
) Adenovirus
B
) Haemophilus influenzae
C
) Mycoplasma pneumoniae
D
) Respiratory syncytial virus
E
) Streptococcus pneumoniae
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| Aashi
Forum Moderator
Topics: 113
Posts: 1,061
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yes its RSV--->BRONCHIOLITS
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"Obstacles are those frightful things you see when you take your EYES off your goal."
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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RSV
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The Key to Succeed is Patience.
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| ram3
Forum Guru
Topics: 48
Posts: 521
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In children less than two years respiratory syncytial virus is the cause usually dx is with cxr which will show hyperinflamation
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| doc_clotaire
Forum Guru
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Posts: 1,248
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 Big Time
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The elevator to succes is broke ,you must take the stairs
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