Child with Cough and Respiratory Distress

A 2-year-old child with cough and respiratory distress

Author: Murtagh, John

A 2-year-old girl was brought to the hospital for evaluation of a harsh cough and difficulty breathing. She developed a cold with a runny nose 3 days ago and has been feeling ill. Her mother said she was awake most of the previous night with a barking cough and noisy breathing. The physical examination revealed an otherwise healthy child with persistent inspiratory stridor and lower rib retractions at rest. Her vital signs included a pulse of 130/min, a respiratory rate of 40/min, a BP of 90/60 mmHg, and an axillary temperature of 37.3°C. Auscultation revealed an inspiratory stridor transmitted through the lung fields. There was no cyanosis and no other abnormal physical signs.

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Affiliations: Emeritus Professor, Department of General Practice, Monash University, Victoria 3165, Australia

Publication date: 01 June 2014