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Browsing case: 7 week old with fever and cough
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1. A 7-week-old female is brought in to the ER with fever, cough, and increasing respiratory distress over 3 days. The baby was born at term with a birth weight of 7 lbs 6 oz. On exam, she had a HR=155, RR 70, O2 sats 90%.
Given the above history, what are the possible differential diagnoses?
Responses:
Bronchiolitis
Constipation
Pneumonia
Sepsis
Explanation:
Differential diagnoses include:
• Bronchiolitis
• Viral pneumonia
• Bacterial pneumonia (including Bordetella pertussis and Chlamydia)
• Aspiration pneumonia
• Sepsis
The severity of the presentation makes a viral URTI unlikely.