A 2 yo toddler is seen in the clinic after a 2-day history o…
A 2 yo toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 5 second capillary refill, 3 second recoil of skin, tachycardia to 160, tachypnea at 40 BPM, and cool hands and feet. The child has had one wet diaper in the past 24 hours. What will the nurse practitioner recommend?
Read DetailsThe parent of a 4 mo presents to your office with a history…
The parent of a 4 mo presents to your office with a history of cold symptoms last week , and now with a cough mom states is “so bad he vomits after coughing”. He has no fever, no wheezing. He is otherwise healthy but is not up to date on his immunizations. What is management of this condition?
Read DetailsA previously healthy 5-month-old infant presents with a 3-d…
A previously healthy 5-month-old infant presents with a 3-day history of worsening cough and rhinorrhea, now has developed symptoms of respiratory distress with audible expiratory wheezes and increased coughing, temp to 100.9. The infant’s immunizations are up-to-date. The physical exam reveals a respiratory rate of 50 breaths per minute, coarse expiratory wheezing, and prolonged expiration. An oxygen saturation is 96% on room air. What is the most likely diagnosis for this infant?
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