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brilliantbaby.com the website that can help you have a happy, smarter child. |
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This is a story of a 3 year old girl who was brought to an emergency department because of one day fever, dry cough, and shortness of breath which was progressively getting worse. She has been very healthy before except for one episode of ear and throat infection. The child was having respiratory difficulty at the emergency room. Her temperature was 101 F (38.3 C), pulse rate of 150/min, respiratory rate of 46/min, and blood pressure of 137/72. Her breathing was associated with flaring of the nose and sucking of the skin and muscles between the ribs (retraction). Her breath sounds were reduced at the right upper part of the chest with generalized wheezing on both breathing in (inspiration) and breathing out (expiration). Both ear drums were red. Her throat was also red with white spots (exudate). The rest of her physical examination were normal. The chest x ray showed collapsed of the the right upper lobe and right pneumothorax (air outside the lung or sign of lung rupture). She was admitted in the hospital and was treated with oxygen, bronchodilator, and corticosteroids. Reference: Pediatrics in Review, February 1996, page 65 Leo Leonidas, MD, FAAP, Assistant Clinical Professor in Pediatrics, Tufts University School of Medicine, Boston; Attending Pediatrician, Eastern Maine Medical Center, Bangor, Maine. |
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