HPI: A 14-month-old Native American boy brought in by his mom due to cough, low grade...

HPI: A 14-month-old Native American boy brought in by his mom due to cough, low grade fever and runny nose for the past 2 days. This morning, the mother noted that her son was breathing quickly and “it sounds like he has rice cereal popping in his throat.” Mom is worried because her son seems to have a lot of “bouts of colds”. Per mom, his oral intake is decreased. He didn’t want to eat this morning.

PE: Smiling, alert Native American boy.
VS: Temp of 99.9, pulse 112, respiratory rate is 58, Pulse ox 96%
HEENT: There is moderate, thick, clear rhinorrhea and postnasal drip.
CV: His capillary refill is less than 3 seconds
PULM: lung sounds are diminished in the bases, he has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields.

What diagnosis would you give this child and what treatment?

Expert Solution

Nightingale answered 2 years ago

A 3 year old boy is brought to the pediatrician with a 102' F fever, cough,...

A 3 year old boy is brought to the pediatrician with a 102' F fever, cough, a runny nose, and red, watery eyes that have lasted three days. His mother is concerned because the fever is not getting better and her son is in obvious discomfort. The doctor suspects that it is a viral cold and instructs the mother to give an over the counter decongestant, an antihistamine, and ibuprofen for fever. Two days later the same boy is brought...

Baby S (a 3-month old baby boy) was brought to the clinic by his foster mother....

Baby S (a 3-month old baby boy) was brought to the clinic by his foster mother. He has been in her care only 24 hours and came with some problems due to lack of care. He has an inflamed bottom near his genitalia and anus. The foster mother states that he has been crying nearly continually since he came to her, and he is very uncomfortable when he urinates. He looks dehydrated as his lips are dry and skin appears...

A 3-year-old Caucasian boy is brought to the clinic for a chronic productive cough not responding...

A 3-year-old Caucasian boy is brought to the clinic for a chronic productive cough not responding to antibiotics given recently. He has no fever or sick contacts. His medical history is significant for abdominal distention, failure to pass stool, and emesis as an infant. He continues to have bulky,foul-smelling stools. No diarrhea is present. He has several relatives with chronic lung and “stomach” problems, and some have even died at a young age. The examination reveals an ill appearing, slender...

A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy...

A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy also presented with fever, pain in chewing and swallowing. 36. What organ related to the digestive tract is involved in this disease? 37. What complication in the male reproductive system can this condition produce? 38. What is the product of the organ involve 39. The histologic appearance of the organ involved in this condition is somewhat similar to what other organ related to the...

Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents...

Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The...

Case: A 6-year-old boy is brought to the clinic where his mother reports that he was...

Case: A 6-year-old boy is brought to the clinic where his mother reports that he was bitten by a neighbor’s dog two days earlier. The child’s right hand is lacerated between the thumb and index finger and this area is inflamed but healing. The doctor’s examination reveals small but painless swellings beneath the skin inside the right elbow and arm pit and he explains to the mother that these are active lymph nodes enlarged in response to the infection in...

A 6-year-old boy is brought to the clinic where his mother reports that he was bitten...

A 6-year-old boy is brought to the clinic where his mother reports that he was bitten by a neighbor’s dog two days earlier. The child’s right hand is lacerated between the thumb and index finger and this area is inflamed but healing. The doctor’s examination reveals small but painless swellings beneath the skin inside the right elbow and arm pit and he explains to the mother that these are active lymph nodes enlarged in response to the infection in the...

How might a counselor explain what “counseling” is to a low-ability 14 year old boy? To...

How might a counselor explain what “counseling” is to a low-ability 14 year old boy? To a gifted 10-year-old? To a high school senior with average intellectual ability?

The parents of 14 year old boy are concerned about his short stature and lack of...

The parents of 14 year old boy are concerned about his short stature and lack of sexual development. Body weight= 3 kg, birth length= 50 cm. His physical examination was normal. Upper segment/Lower segment ratio =0.98. Pre-pubertal with small amount of fine axillary and pubic hair were present. In this situation you should do the following except: A. Measure pituitary gonadotropin B. Obtain a CT scan of the pituitary area C. Biopsy his testes D. Measure serum testosterone levels E....

A 7 month old was brought to the emergency room due to difficulty breathing.Examination revealed wheezing...

A 7 month old was brought to the emergency room due to difficulty breathing.Examination revealed wheezing due to bronchitis a fever of 102 F slightly blue lips lethargie and loss of appetite. A chest X ray revealed no signs of pneumonia. A specific virus was suspected and a rapid test for that virus yielded a positive result.The virus is a negative sense single stranded RNA virus. It has spherical fors that are 150-200 nanometers in size and filamentous forms that...

Question