week six discussion. (1).docx - n clinical settings patients often present with various respiratory symptoms such as congestion coughing and wheezing

week six discussion. (1).docx - n clinical settings...

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Consider the following three scenarios:Scenario 1:Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that thebaby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, mostnights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.Scenario 2:Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough.His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but
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Scenario 3:Maria is a 36-year-old who presents for evaluation of a cough. She is
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  • Spring '17
  • Management, Human respiratory syncytial virus, cough, Cough medicine, Ms. Teel

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