The patient was a 5 week old male who was transferred to an university hospital from a small community hospital with a 10 day history of choking spells. the child's spells began with repetitive coughing and progressed ti his gasping for breath. In the prior 2 days, he also had three episodes of vomiting in association with his choking spells. his physical examination was significant for a pulse of 160 beats per min. and respiratory rate of 72/min. the child's chest radiograph was clear. there was no evidence of tracheal abnormalities. His white cell count was 15,500/ul. Culture from a nasopharyngeal swab revealed a small Gram - negative bacillus.
I think that the disease
is Pertussis or one of the Bacterial pneumonia.
In Addtition to identifying the infection disease
and the infectious agent, Answer the following question:
1. Were this child's clinical course and chest radiograph consistent with his infection? Explain
2. How might this disease
3. What therapy would you suggest for this patient?
4. Clinically, the cough may persist for some time following therapy. Give possible reasons why a cough may persist in the face of therapy?
Also include your interpretation of relevant history:Here is an Example:( here you should tell me how you figured out your case study. in other words, I would like to know your thought process. you should be sure to explain all medical terminalogy and also interpret any lab or clinical data., where you obtained information, 3 different references)
Example1.Twelve year-old female
-unlikely that this is a disease
of the debilitated and elderly.
2. Previously in good health
-more evidence that this is not a chronic disease
or an opportunistic disease
3. Has had a fever for several days
-in most cases fever is a good sign of current infection
4. There is a large rash on her back.
-Could be the "bulls eye" rash of Lyme disease
since the rash of Rocky Mountain fever starts on the hands and feet and is not locolized to the back.
5. She lives in Connecticut near the NY border.
- this is an endemic area for Lyme disease
6. She has been walking through tall grasses
-This is a likely place to pick up ticks.
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