Chapter 3, Problem 17CTE

A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?

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Respiratory System SOAP Note "Medical Terminology Systems" (2017). Gylys, Barbara and Wedding, Mary Ellen. FA Davis Date: February 1,20XX Patient: Flowers, Richard Chief Complaint: SOB Time registered: 1345 hours Physician: Samara Batichara, MD Emergency Department Record Medications: Vytorin 10/20 mg daily; Toprol-XL 50 mg daily; Azmacort 2 puffs three times a day; Proventil 2 puffs every 6 hours S: This 49 year old man with Hx of COPD is admitted because of exacerbation of SPB over the past few days. Patient was a heavy smoker and states that he quit smoking for a short time but now smokes 3-4 cigarettes day. He has a Hx of difficult breathing, hypertension, COPD, and peripheral vascular disease. The patient underwent triple bypass surgery in 19XX. O: T: 99.9 F. BP: 180/90. Pulse: 80 and regular. R: 20 and shallow. PE indicates scattered bilateral wheezes and rhonchi heard anteriorly and posteriorly. Compared with a portable chest film taken 22 months earlier, the current study most…