Respiratory tract infections

A 2-year-old boy, fully immunised, wakes at 2 am with a harsh, seal-like cough and noisy breathing. He has had a runny nose for a day. In the department he has…

Clinical rotations · common

A 4-month-old girl, born at term, has had three days of a runny nose and cough and today is breathing fast and feeding poorly, taking about half her usual volum…

Clinical rotations · common

A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…

Clinical rotations · common

A 2-year-old boy is brought to a regional emergency department at 3 am with two days of runny nose and a harsh barking cough. Forty minutes ago he was given dex…

Pre-internship · middle twist

A 5-month-old ex-term boy is on day four of bronchiolitis. Over the past 24 hours he has taken about 40 per cent of his usual milk and had two wet nappies. Resp…

Pre-internship · middle twist

A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…

Clinical rotations · common

A 2-year-old boy brought in at 2 am has a harsh barking cough and a hoarse cry. His general practitioner gave him prednisolone 1 mg/kg nine hours ago and he set…

Pre-internship · middle twist

A 9-week-old girl is brought to a regional emergency department with three weeks of cough. Her mother describes bouts of coughing that leave her red in the face…

Clinical rotations · middle twist

A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…

Clinical rotations · common

A 4-year-old child in a childcare centre has had paroxysmal coughing with post-tussive vomiting for 12 days, and PCR has detected Bordetella pertussis. He is ot…

Clinical rotations · middle twist

A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…

Clinical rotations · common

An 18-month-old boy wakes at 2 am with a harsh, barking cough and noisy breathing and is brought to the emergency department. He has had a runny nose for two da…

Clinical rotations · common

A 9-month-old girl is brought to the emergency department with three days of runny nose and moist cough, and one day of fast, noisy breathing. She is taking abo…

Clinical rotations · common