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LOWER RESPIRATORY TRACT INFCTION - HOW TO INVESTIGATE?
Case Report:
A 4 months old boy born of third degree consanguineous marriage presented with cough and cold since 7 days and increased rate of breathing since 3 days. There is no fever, refusal of feeds, lethargy. He is on exclusive breast feeds and has been immunized till date with BCG, DPT and OPV. On examination, he has heart rate of 110/min with respiratory rate of 52/min without chest retractions. His weight is 5.75 kg and length is 60 cm. Anterior fontanelle is open. On systemic examination, bilateral hyperresonant note over lung fields with obliteration of cardiac dullness and bilateral crepitations and rhonchi. Liver and spleen are palpable. Other systems are normal.
A 4 months old boy born of third degree consanguineous marriage presented with cough and cold since 7 days and increased rate of breathing since 3 days. There is no fever, refusal of feeds, lethargy. He is on exclusive breast feeds and has been immunized till date with BCG, DPT and OPV. On examination, he has heart rate of 110/min with respiratory rate of 52/min without chest retractions. His weight is 5.75 kg and length is 60 cm. Anterior fontanelle is open. On systemic examination, bilateral hyperresonant note over lung fields with obliteration of cardiac dullness and bilateral crepitations and rhonchi. Liver and spleen are palpable. Other systems are normal.
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