Respiratory Cases III

20 mo male, worsening dyspnea

patient illustration


PQ is a 20-month-old male who is brought in the emergency department by his father because of dyspnea that began a few hours ago and has gotten progressively worse. The father states that PQ had been well up until two days ago, but since has exhibited symptoms of an upper respiratory infection. Assessment reveals a normal-appearing toddler who is in moderate respiratory distress with nasal flaring and substernal retractions. Heart rate is 124, respiratory rate is 42, temperature is 99.1o F. SpO2 is 95% on room air. He has an occasional loose cough. Auscultate the lungs using the tab above.


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