What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress? Case summary: A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

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Answer 1

Question

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

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A woman reports to the emergency room in January with her cyanotic (blue-colored) 10- month-old child. The mother reports that the infant has had a runny nose, fever, and slight cough for a day and has had increasing trouble breathing . The child does not have a history of bronchial disease and was not premature. The mother also states that the infant’s five-year-old brother is recovering from symptoms that resemble a cold. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the oldest child not display signs of respiratory distress?

A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?

Mr. Abgenyegah is a 49-year-old man, married man with only one child, a male. He is in the hospital with fever, a three months old cough, which is productive with brownish phlegm, this according to him has resulted in some challenge in breathing. He initially tries some antibiotics and some cough syrup but does not remember its names, he experiences night sweats and has recently realize that he has to increase his belt hole one step tighter to fit. He said he has once had a bad itch when he took Augmentin 4 years ago (i) Which organ system(s) could be involved in this presenting complain and why? (ii) What other questions would you ask to help you have a working diagnosis (iii) What investigations can you think of as a helpful tool in helping you arrive at a diagnosis (iv) Re- write the above history in a structured manner (v) What is your likely diagnosis? (vi) What will be your holistic advice to the patient?

Answer 2

Question

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

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Answer 3

Question

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

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Answer 4

Question

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Expert Solution & Answer

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Answer 5

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 6

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 7

Chapter 22, Problem 2CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 8

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 9

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 10

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 11

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 12

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 13

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 14

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 15

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

Answer 16

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Answer 17

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Answer 18

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Answer 19

Ch. 22 - Prob. 1TMW Ch. 22 - Why must diphtheria immunization be boosted every...Ch. 22 - Why is it inappropriate to treat a cold with...Ch. 22 - Prob. 1CCS Ch. 22 - Prob. 4TMW Ch. 22 - Prob. 1EDCS Ch. 22 - Prob. 2CCS Ch. 22 - Prob. 5TMW Ch. 22 - Prob. 2EDCS Ch. 22 - Outbreaks of blastomycosis have occurred in Latin...

Solution Summary: The author explains that the presumptive diagnosis is the Respiratory distress syndrome (RSV).

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Chapter 22 Solutions