Diagnostic Dilemma

Tachypnea with hyperinflated chest

A 4 months old boy born of third degree consanguineous marriage presented with cough and cold for 7 days and increased rate of breathing for 3 days. There is no fever, refusal of feeds, lethargy. He is on exclusive breast feeds and has been immunized till date. 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 hyper resonant note over lung fields with obliteration of cardiac dullness and bilateral crepts and rhonchi. Liver and spleen are palpable. Other systems are normal.

How should this child be managed?
Answer Discussion :
Rasha Abuleilah
Chest x-ray..inflammatory profile CBC, ESR, CRP..
1 Day ago
First see spo2 status if child managing saturation at room air then quickly investigate the cause by doing ABG n xray chest.take detail history regarding FB
and then manage accordingly

3 Days ago

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