p2
Forum Senior
Topics: 41
Posts: 52
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4. A 3-month-old boy is brought to the physician in January because of difficulty breathing, clear nasal discharge, and cough for 24 hours. His temperature is 37.6°C (99.6°F), blood pressure is 88/54 mm Hg, pulse is 168/min, and respirations are 60/min. Bilateral wheezing, prolonged expiration, and a grade 2/6 systolic murmur along the left sternal border are heard. The liver is palpated 3 cm 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 pneumonia
B) Congestive heart failure
C) Influenza A virus pneumonia
D) Respiratory syncytial viral bronchiolitis
E) Staphylococcal pneumonia
F) Status asthmaticus
C OR D EXPLAIN
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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D
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| sherry39
Forum Junior
Topics: 3
Posts: 105
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dd...as it is acute croup leading to shock amd impaired left ventricular failure
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| guangyu
Forum Elite
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i think it is D, but why not E?
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| farnsworth
Forum Newbie
Topics: 0
Posts: 165
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staphylococcal pneumonia usually shows up with an infiltrate on the CXR. Hyperinflation is also uncommon
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