The fоllоwing cаse study hаs three questiоns thаt are highlighted in yellow to address. Please address each one separately and thoroughly. A 4-month-old previously healthy boy with a cough is brought in by his mom. The cough has been present for 5 days and occurs both day and night, worsening over the past day. He has been working harder to breathe and wheezing over the past 24 hours. She became worried during the night his chest “sucking in” with each breath. She has not noticed his skin become pale or bluish-tinged nor has she witnessed him stop breathing at any point. He has never felt warm to her. She does think his oral intake is slightly decreased but he is still making the same number of wet diapers as usual. ROS: Mom reports the baby has had a dry hacking cough. No one else sick. Past Medical: No hospitalizations or surgeries. Up to date on immunizations Mom has asthma Lives at home with mom and dad. No smoking or pets. NKDA No current meds Assessment: Temp: 100.4 HR: 122 RR: 40 O2 sat: 95% ra 60% height, weight, and head circumference General: no acute distress HEENT: anterior fontanelle flat, mucus membranes moist, with clear stringy discharge from bilateral nares. right tympanic membrane red and bulging. Left TM gray Heart: rate regular with no murmur Lungs: expiratory wheeze noted anteriorly and posteriorly in all lobes. no retractions at present, no nasal flaring. Abdomen: round, soft, nontender Skin: warm, dry, with no rashes What is differential diagnosis? What is the most likely diagnosis? What is your treatment plan and anticipatory guidance about the diagnosis? If treating with antibiotic, what is the recommended dosage?
The fоllоwing cаse study hаs three questiоns thаt are highlighted in yellow to address. Please address each one separately and thoroughly. A 4-month-old previously healthy boy with a cough is brought in by his mom. The cough has been present for 5 days and occurs both day and night, worsening over the past day. He has been working harder to breathe and wheezing over the past 24 hours. She became worried during the night his chest “sucking in” with each breath. She has not noticed his skin become pale or bluish-tinged nor has she witnessed him stop breathing at any point. He has never felt warm to her. She does think his oral intake is slightly decreased but he is still making the same number of wet diapers as usual. ROS: Mom reports the baby has had a dry hacking cough. No one else sick. Past Medical: No hospitalizations or surgeries. Up to date on immunizations Mom has asthma Lives at home with mom and dad. No smoking or pets. NKDA No current meds Assessment: Temp: 100.4 HR: 122 RR: 40 O2 sat: 95% ra 60% height, weight, and head circumference General: no acute distress HEENT: anterior fontanelle flat, mucus membranes moist, with clear stringy discharge from bilateral nares. right tympanic membrane red and bulging. Left TM gray Heart: rate regular with no murmur Lungs: expiratory wheeze noted anteriorly and posteriorly in all lobes. no retractions at present, no nasal flaring. Abdomen: round, soft, nontender Skin: warm, dry, with no rashes What is differential diagnosis? What is the most likely diagnosis? What is your treatment plan and anticipatory guidance about the diagnosis? If treating with antibiotic, what is the recommended dosage?
Lewis аntibоdies аre immunоglоbulin type:
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