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khagihara
khagihara, Medical doctor
Category: Homework
Satisfied Customers: 6476
Experience:  Trained in multiple medical fields for many years.
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The following is 2 questions I need answered ASAP regarding

Customer Question

The following is 2 questions I need answered ASAP regarding the case described.Please answer promptly and as detailed as possible. The questions are at the end.
HPI: Kayla (mom) is back to visit 2 months after the initial visit with Riley, the now 20 month-old male child. Riley has developed a nocturnal barking cough and runny nose with low-grade fever over the last 2 days. The mother has noted that the cough sounds like barking and that the usual administration of Cetrizine syrup (half a teaspoon once daily PRN congestion and OTC children’s acetaminophen infant drops) has not been beneficial in relieving symptoms. There was a fever of 101 yesterday evening, tympanic measure. Copious clear rhinorrhea was reported. There was mild anorexia, but drinking well. The mother denies other associated symptoms.
PMH: The sister has also had a cold over the last week but is improving. There is no change in daily medications. There were no interim visits to any other healthcare providers or illnesses since the last visit in the office.
1)Provide differential diagnoses with rational?.
2)Further history and ROS needed to more fully develop your differential diagnoses?
Submitted: 8 months ago.
Category: Homework
Expert:  khagihara replied 8 months ago.

1) Croup-but runny nose is not usual. Epiglottis-but usually toxic appearance. Bacterial tracheitis-but brassy cough, high fever, respiratory distress. Spasmotic croup-possible but usually 1-3 years of age. Acute infectious laryngitis-hoarseness and loss of voice out of proportion to systemic finding, less likely. Diphtheritic croup-extremely rare in North America. Foreign body aspiration-no fever and runny nose. Retropharyngeal abscess-drooling, difficulty swallowing. Extrinsic compression (vascular ring) or intraluminal obstruction (masses)-no fever and runny nose. Angioedema-no fever. Acute bronchitis-possible. Bronchoiolitis-but no apnea and decreased appetite. Asthma-no fever and runny nose. continued.

Expert:  khagihara replied 8 months ago.
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