Case Mother Brings Question & Answer Guide (With Explanation)

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Break the problem into smaller parts and analyze each logically.

Key Explanation

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Original Question

Case 5: Mother brings her 5-month-old female infant to your clinic with the complaint of cough and trouble breathing. The infant has had a runny nose and felt warm to touch for the past 2-3 days. Today the cough and breathing have worsened. She won’t take her bottle and he has spit up twice. No diarrhea. The infant has not had any previous illnesses and is UTD on immunizations. The temp is 100.8 R, pulse 142, respirations 62. SaO2 93-94%. What focused history (HPI) questions would you ask the parent/child with regard to the CC of cough and trouble breathing? Use OLDCARTS. What specific questions would you ask in the ROS? What components of the physical exam are pertinent to perform on this patient? Be specific and explain why you are performing the exam. In a child with a cough, what subjective and objective findings would be considered “red flags”? What is the differential diagnosis of cough and dyspnea in this 5-month-old child? Explain what these potential diagnoses are and how you would rule them in or out during your evaluation of this child.

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