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Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was porn at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 lay and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and oose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, liarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. A he age of 5 months he was hospitalized for respiratory distress, and after coughing induced y respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP eferred him to the paediatric department at the local General Hospital, where an ontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR nutation analysis (genetic testing) results were positive for two copies of Delta F508. His nother wants to know the diagnosis, what the treatment options are and what the prognosis is or her baby.

Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was porn at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 lay and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and oose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, liarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. A he age of 5 months he was hospitalized for respiratory distress, and after coughing induced y respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP eferred him to the paediatric department at the local General Hospital, where an ontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR nutation analysis (genetic testing) results were positive for two copies of Delta F508. His nother wants to know the diagnosis, what the treatment options are and what the prognosis is or her baby.

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was born at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. At the age of 5 months he was hospitalized for respiratory distress, and after coughing induced by respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP referred him to the paediatric department at the local General Hospital, where an iontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR mutation analysis (genetic testing) results were positive for two copies of Delta F508. His mother wants to know the diagnosis, what the treatment options are and what the prognosis is for her baby.
Transcribed Image Text:Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was born at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. At the age of 5 months he was hospitalized for respiratory distress, and after coughing induced by respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP referred him to the paediatric department at the local General Hospital, where an iontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR mutation analysis (genetic testing) results were positive for two copies of Delta F508. His mother wants to know the diagnosis, what the treatment options are and what the prognosis is for her baby.
Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was born at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. At the age of 5 months he was hospitalized for respiratory distress, and after coughing induced by respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP referred him to the paediatric department at the local General Hospital, where an iontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR mutation analysis (genetic testing) results were positive for two copies of Delta F508. His mother wants to know the diagnosis, what the treatment options are and what the prognosis is for her baby.
Transcribed Image Text:Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was born at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. At the age of 5 months he was hospitalized for respiratory distress, and after coughing induced by respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP referred him to the paediatric department at the local General Hospital, where an iontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR mutation analysis (genetic testing) results were positive for two copies of Delta F508. His mother wants to know the diagnosis, what the treatment options are and what the prognosis is for her baby.
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