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 cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.

What is the respiratory disorder and underlying alteration and pathophysiology of the alteration associated with the type of cough described?

Expert Solution

A respiratory disorder is a kind of problem occurs in breathing, due to lack of process of exchange of gases. The proper amount of the oxygen didn't reach to the lungs. The patients with respiratory disease may present with varied symptoms, including productive or a nonproductive cough, fever, shortness of breath, chest pain, and decreased exercise tolerance. The incidence of respiratory alterations is difficult to quantify as the number of patients who require admission to hospital as a result of respiratory disease represent a small proportion of the total number affected.

*Pathophysiology of the alteration :

Respiratory failure occurs when the respiratory system fails to achieve one or both of its essential gas exchange functions, This failure is caused by alveolar hypoventilation, where the respiratory effort (or minute ventilation) is insufficient to allow adequate exchange of oxygen and carbon dioxide. This may be caused by conditions that affect respiratory drive such as neuromuscular diseases, chest wall abnormalities or severe airways disease.

Nightingale answered 2 years ago

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...

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...

Child Nutrition Case Study Michael is a 2 year old boy who is overweight. His parents...

Child Nutrition Case Study Michael is a 2 year old boy who is overweight. His parents complain that he is a picky eater. He doesn’t like vegetables, but will eat fruit occasionally. His daycare providers report that he often seems to be suffering from fatigue, irritability and he has been having some behavioral issues. His mother has had to take time off from work recently because he is frequently sick as well. She consults your advice on whether or not...

Suppose that Kevin is a 10 years old boy. He is at the mall with his...

Suppose that Kevin is a 10 years old boy. He is at the mall with his mom, and she gives him some money to get food from the food court. At the food court there is a hamburger place, and an ice cream shop. In the following table, I will show you Kevin's Total Utility for each quantity of Hamburgers and ice cream. Hamburgers ($2) Ice Cream ($1) Quantity Total Utility Marginal Utility MU/P Quantity Total Utility Marginal Utility MU/P...

Scenario: Alex is a 6 year old boy who arrives to his primary care office with...

Scenario: Alex is a 6 year old boy who arrives to his primary care office with a 3-day temperature of 102-103F axillary and L leg pain. Today he started with red pinpoint rash and has been unusually sleep. Alex is up-to-date on his vaccines. His vitals today are RR 28 HR 120 T102.5F BP 90/60 O298% on room air. Weight 21.8 kg Height 3.5 feet the NP finds that Alex has not only cervical lymphadenopathy but also enlarged lymph nodes in the axillae and groin. Yet, Alex is...

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 10-year-old boy presented to a new pulmonary physician for evaluation. His mother stated that his...

A 10-year-old boy presented to a new pulmonary physician for evaluation. His mother stated that his primary condition was asthma. He had developed respiratory symptoms at 2 months of age, had been seen by many specialists, and had been on multiple medications since that time. The pregnancy was uneventful. When he was 2 months old, he developed a recurrent cough. He was started on albuterol and then, at 6 years of age, switched to levalbuterol hydrochloride. At various times he...

Salina is a 7-year-old who lives with her parents in a suburban community. Her parents brought...

Salina is a 7-year-old who lives with her parents in a suburban community. Her parents brought Salina to the United States from their homeland in Greece when she was 1 year old. At the age of 3, Salina was in the 10th percentile for height and weight, pale, and her hemoglobin was 5.8 g/dL. Following further diagnostic studies, she was diagnosed with beta-thalassemia major. Over the course of the next 4 years, Salina was hospitalized every 1–2 months so she...

An 8-year-old boy is seen in the emergency department accompanied by his parents, maternal grandparents, and...

An 8-year-old boy is seen in the emergency department accompanied by his parents, maternal grandparents, and two younger siblings aged 2 and 5, and his mother’s sister. Subjective Data • Multiple people are speaking at once, some in English and others in Spanish. • The father, in a Spanish accent, tells the nurse, “My son, he fell down. Es en mucho dolor.” • A certiﬁed medical interpreter is at the child’s bedside. • In Spanish, the child communicates that he...

Question