Case 3An 8 month-old child with relatively poor growth compared to his brother and sister at thesame age, and a chronic cough, is taken by his mother to the see the family GP. The child wasborn at 41 weeks of gestational age. Soon after birth, he developed respiratory distress andwas admitted to the neonatal intensive care unit where he was mechanically ventilated for 1day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting andloose bowel movements, he was changed to formula feeding. Despite trials of different typesof formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating,diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. Atthe age of 5 months he was hospitalized for respiratory distress, and after coughing inducedby respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. Hecontinued to have loose, greasy, foul-smelling stools and failed to gain weight. The GPreferred him to the paediatric department at the local General Hospital, where aniontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTRmutation analysis (genetic testing) results were positive for two copies of Delta F508. Hismother wants to know the diagnosis, what the treatment options are and what the prognosis isfor her baby. Case 3An 8 month-old child with relatively poor growth compared to his brother and sister at thesame age, and a chronic cough, is taken by his mother to the see the family GP. The child wasborn at 41 weeks of gestational age. Soon after birth, he developed respiratory distress andwas admitted to the neonatal intensive care unit where he was mechanically ventilated for 1day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting andloose bowel movements, he was changed to formula feeding. Despite trials of different typesof formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating,diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. Atthe age of 5 months he was hospitalized for respiratory distress, and after coughing inducedby respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. Hecontinued to have loose, greasy, foul-smelling stools and failed to gain weight. The GPreferred him to the paediatric department at the local General Hospital, where aniontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTRmutation analysis (genetic testing) results were positive for two copies of Delta F508. Hismother wants to know the diagnosis, what the treatment options are and what the prognosis isfor her baby.

Cystic fibrosis is a genetic disorder characterized by the production of thick and sticky mucus,…

Case 3 An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was porn at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 lay and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and oose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, liarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. A he age of 5 months he was hospitalized for respiratory distress, and after coughing induced y respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain weight. The GP eferred him to the paediatric department at the local General Hospital, where an ontophoresis of pilocarpine sweat test showed sweat chloride 105 mmol/L, and CFTR nutation analysis (genetic testing) results were positive for two copies of Delta F508. His nother wants to know the diagnosis, what the treatment options are and what the prognosis is or her baby.

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter15: Obstetric And Gynecologic Surgery

Section: Chapter Questions

Problem 4CS