Question

A 16-month-old infant was admitted from the emergency room because of nausea and vomiting and some cough. She was felt to have acute bronchitis due to respiratory syncytial virus (RSV) with possible pneumonia. This child was hospitalized previously with meningitis but has had no other serious illnesses until the present time. She has no prior history of diabetes or tuberculosis. Her parents are alive and well. The physical examination revealed generalized sibilant rales. The patient's chest x-ray was normal. Pneumonia was ruled out. Her urinalysis was normal. Her hematocrit was 34. The low hematocrit was thought to be due to the persistent vomiting and lack of iron intake from her diet. The patient was given penicillin and Phenergan injections. She was also given nebulizer treatments every 6 hours on an as-needed basis. The patient was started on clear liquids, and she progressed to a general diet. After the first few days, the vomiting ceased. She was discharged with prescriptions for ferrous gluconate, ampicillin, and Phenergan.

a) DISCHARGE DIAGNOSES:
b) Acute bronchitis due to RSV
c) Nutritional anemia due to inadequate dietary iron intake
d) Nausea and vomiting

Answer 1

The 16-month-old infant was diagnosed with acute bronchitis due to RSV and nutritional anemia(OPTION B). Ferrous gluconate was prescribed to address the anemia, while penicillin and Phenergan injections were given for the bronchitis. Nebulizer treatments were administered as needed for respiratory symptoms.

Step-by-step explanation:

The discharge diagnoses for the 16-month-old infant include acute bronchitis due to respiratory syncytial virus (RSV) and nutritional anemia due to inadequate dietary iron intake(option B).

The patient's vomiting and low hematocrit were thought to be due to lack of iron intake from her diet. Therefore, she was prescribed ferrous gluconate to address her nutritional anemia. Additionally, she was given penicillin and Phenergan injections for the acute bronchitis. The nebulizer treatments were administered on an as-needed basis to alleviate respiratory symptoms.