A three year old presents to the clinic with chronic unilate…

A three year old presents to the clinic with chronic unilateral wheezing for the past 2 weeks.  CXR shows an infiltrate in the RML.  The child was previously healthy, with immunizations up to date.  The child is afebrile, with mild retractions present.  An albuterol treatment does not cause any improvement in breath sounds or retractions.  Which disease process seems most likely?

A 16 year old new onset diabetes mellitus type I patient. Sh…

A 16 year old new onset diabetes mellitus type I patient. She presented with increased thirst and frequent urination. The patient is breathing 30 times per minute, with a heart rate of 110 beats/min, BP 88/58 mmHg, extremities are cool and clammy.  How is the patient’s condition best described?

At what step of therapy should Hannah begin?  (Hannah is ten…

At what step of therapy should Hannah begin?  (Hannah is ten years old and presents at her primary physician’s office for a regular checkup.  She has a complaint of frequent coughing, that requires the use of her rescue inhaler every day.  Her physician orders pulmonary function testing which reveals an FEV1 of 84% of predicted.  Hannah reports she feels fine on most days, though sometimes has difficulty participating in PE activities.  She wishes she could participate fully, every day.) 

A mother brings her 3 month old to the emergency room compla…

A mother brings her 3 month old to the emergency room complaining of breathing too fast and not eating. This is the patient’s first illness requiring a hospital visit. The assessment is as follows: average size 3 month old with upper airway congestion, HR = 168bpm, RR = 78 breaths/min, BP = 110/80, Temperature = 99.7 F, SpO2 on room air = 89%, Breath Sounds = diminished with fine crackles. What condition does the RCP suspect this patient to have?