1. As part of our nonprofit mission, SDN supports medical student publications, websites and blogs. Students with blogs are encouraged to apply for our publisher stipend. It's a small amount to help defray costs and encourage open discussion and exchange of ideas. Contact: [email protected]

nbme 4 pediatric

Discussion in 'Step II' started by 250256, Sep 13, 2013.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. 250256


    Oct 17, 2012
    11) A 10-month-old infant is broughtto the emergency department because of labored breathing for 1 hour She has had cough, coryza, and feverfor 18 hours Hertemperature
    is 39°C (1022°F), pulse is 120/mni, respirations are 54/mni. and blood pressure is 82/60 mm Hg Pulse oximetry shows an oxygen saturation of 92% Bilateral wheezes and
    basilar crackles are heard

    o A) Allergen-induced bronchospasm
    o B) Barotrauma-related alveolar disease
    O C) Cardiac-induced pulmonary edema
    o D) Chemical irritant pneumonitis
    o E) Community-acquired viral disease
    O F) Contiguously spread bacterial infection
    0 G) Osmotically generated fluid shift
    O H) Toxin-mediated capillary leak

    I think it is bilateral wheezes , probably virus is the correct one. But can virus be so severe? I know that has bacteral infection after the virus infection. But that is should happen when URI is getting better. Thank you!
  2. SDN Members don't see this ad. About the ads.
  3. Myxedema

    Myxedema 5+ Year Member

    Aug 14, 2012
    Lower respiratory symptoms (wheezing and crackles) following viral URI symptoms (coryza, cough and fever) is typical for viral bronchiolitis. This is also supported by the fact that viral bronchiolitis is very common in <2 years of age.
  4. 250256


    Oct 17, 2012
    Got it, thanks a lot!

Share This Page