Question

Case 24: 3 month old male is brought to the clinic by his mother with runny nose, noisy breathing, low-grade fever, emesis containing mucus, and poor feeding. The boy has older siblings who have had a "cold" in the past week. The boy is healthy, vaccines UTD. Low-grade fever and tachypnea.

1. Emergency orders
2. Physical Exam
3. Diagnostic tests
4. Therapy
5. Location
6. Final order
7. Dx

Answer 1

The symptoms described in the case study of the 3-month-old male are consistent with a common cold or upper respiratory infection. Emergency orders may include obtaining vital signs, evaluating oxygen saturation, and monitoring the respiratory status. Diagnostic tests may include a complete blood count and nasal swab for viral culture. Therapy may involve supportive care and using saline nasal drops or sprays to alleviate congestion. The location of treatment would depend on the severity of symptoms, and the final order may include follow-up visits.

Step-by-step explanation:

The symptoms described in the case study of the 3-month-old male, such as runny nose, noisy breathing, low-grade fever, emesis containing mucus, and poor feeding, are consistent with a common cold or upper respiratory infection. The fact that the boy's siblings have had a 'cold' in the past week suggests that he may have contracted the virus from them. The low-grade fever and tachypnea further support this diagnosis.

Based on the information provided, the appropriate emergency orders may include obtaining vital signs, evaluating oxygen saturation, and monitoring the patient's respiratory status. Physical examination should include assessing the respiratory effort, listening to lung sounds, and examining the throat and nose for signs of inflammation. Diagnostic tests may include a complete blood count and nasal swab for viral culture or rapid antigen tests to confirm the presence of a viral infection. Therapy may involve supportive care, such as providing fluids and maintaining adequate nutrition, as well as using saline nasal drops or sprays to alleviate nasal congestion. The location of treatment would depend on the severity of symptoms, with milder cases managed at home and more severe cases requiring hospitalization. The final order may include follow-up visits to monitor the patient's progress and ensure resolution of symptoms. Based on the symptoms described, the patient's history, and the absence of other significant findings, a likely diagnosis would be a common cold or viral upper respiratory infection.