A 6 months old baby coming with /o increasing difficulty in breathing of 2 days duration and on examination baby is afebrile & B/L wheeze & CXR shows B/L hyperinflation of the lungs with normal WBC count, the diagnosis is –
Correct Answer: Bronchiolitis
Description: Clinical manifestations of bronchiolitis
The usual course of the disease is 1-2 days of → Fever, Rhinorrhea, Cough
This is followed by -
Wheezing
Cyanosis
Tachypnea
Nasal flaring
The breathing pattern is shallow
Rales, crepitation and Ronchi
Respiratory distress → retraction of intercostal space & suprasternal notch.
Liver and spleen are pushed downward because the hyperinflated emphysematous lungs push the diaphragm downward.
Anteroposterior diameter of the chest is increased and hyper-resonance is noted on percussion.
The leukocyte count is normal or slightly elevated.
Chest X-ray
Hyperinflation of the lung
The diaphragm is pushed down
Lung fields are abnormally translucent.
Category:
Pediatrics
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