Shelby, is a 4 week old, and presents to your office in mid…

Shelby, is a 4 week old, and presents to your office in mid January with a one week history of nasal congestion and occasional cough.  On the evening prior to this visit Shelby developed a temperature of 102F, refused to breast feed; had paroxysmal coughing and noisy labored breathing.  On exam, you note  an ill appearing infant who is lethargic with tachypnea and intercostal retractions.  Shelby does not attend daycare but has a 3 year old sibling who is in day care and who recently had a “cold”.  Considering the clinical presentation, what is the most likely cause of Shelby’s illness?

A 10 day old is brought to the clinic because the parent is…

A 10 day old is brought to the clinic because the parent is concerned about his breathing.  The parents report that while the baby is feeding, he often stops breathing for periods of about 10 seconds.  History reveals that the baby eats well, has never appeared pale or cyanotic, and has never become limp during any of these episodes.  Your management plan is based on which of the following?