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Peds Clinical Cases (Egypt) 3-09 (Final Version)

Peds Clinical Cases (Egypt) 3-09 (Final Version)

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Published by: asupicu on Feb 01, 2010
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01/17/2013

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Interesting PediatricRespiratory Cases:
An Interactive Discussion
Interesting PediatricRespiratory Cases:
An Interactive Discussion
Ira M. Cheifetz, MD, FCCM, FAARCProfessor of PediatricsChief, Pediatric Critical CareMedical Director, PICUDuke Children’s HospitalIra M. Cheifetz, MD, FCCM, FAARCIra M. Cheifetz, MD, FCCM, FAARCProfessor of PediatricsProfessor of PediatricsChief, Pediatric Critical CareChief, Pediatric Critical CareMedical Director, PICUMedical Director, PICUDuke ChildrenDuke Childrens Hospitals Hospital
 
Case 1: PneumoniaCase 1: Pneumonia
Previously healthy 4 yo (18 kg) girl presentswith a 5 day h/o URI symptoms, cough, & fever 
Admitted to the pediatric ward with RLLpneumonia
Over 48 hours, she develops worseningtachypnea, progressive bilateral infiltrates, andhypoxia
HR 152, RR 42, SpO
2
89% (2 lpm), T 39.5
°
C
Diffuse rales, mod subcostal retractions
Previously healthy 4 yo (18 kg) girl presentswith a 5 day h/o URI symptoms, cough, & fever 
Admitted to the pediatric ward with RLLpneumonia
Over 48 hours, she develops worseningtachypnea, progressive bilateral infiltrates, andhypoxia
HR 152, RR 42, SpOHR 152, RR 42, SpO
22
89% (2 lpm), T 39.589% (2 lpm), T 39.5
°°
CC
Diffuse rales, mod subcostal retractionsDiffuse rales, mod subcostal retractions

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