A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from...

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A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history of choking spells. The child’s spells began with repetitive coughing and progressed to his turning red and gasping for breath. In the prior 2 days, he also had three episodes of vomiting in association with his choking spells. 1. What do you do next?

Transcript of A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from...

Page 1: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

A CoughYou are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history of choking spells. The child’s spells began with repetitive coughing and progressed to his turning red and gasping for breath. In the prior 2 days, he also had three episodes of vomiting in association with his choking spells.

1. What do you do next?

Page 2: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

The resident also asks you to take a nasopharyngeal swab

Page 3: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

Clear Chest X-ray

Page 4: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 5: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 6: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 7: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 8: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 9: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

-MMWR

Page 10: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.
Page 11: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

Comparative Genome Hybridization

Comparative Genome Hybridization

Page 12: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

Bordetella phylogenyBordetella phylogeny

Page 13: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

Comparative Genome Hybridization

Comparative Genome Hybridization

Page 14: A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

Comparative Genome Hybridization

Comparative Genome Hybridization


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