A Case of Vanishing Bones
| Autor: | Brett Leingang, Aarti Kamat |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Respiratory rate
Respiratory distress medicine.diagnostic_test business.industry Emergency department medicine.disease Chest pain 03 medical and health sciences Work of breathing Pneumonia 0302 clinical medicine Community-acquired pneumonia 030225 pediatrics Anesthesia Pediatrics Perinatology and Child Health medicine Humans 030212 general & internal medicine Respiratory sounds medicine.symptom Bone Diseases business |
| Zdroj: | Pediatrics in review. 41(11) |
| ISSN: | 1526-3347 |
| Popis: | 1. Aarti Kamat, MD* 2. Brett Leingang, MD* 1. *Department of Pediatrics, Helen Devos Children’s Hospital, Grand Rapids, MI Our patient is a 2-year-old boy with a 4-month history of left-sided chest pain presenting to an urgent care center with cough, dyspnea, and increased work of breathing for 2 days. His parents state that his respiratory symptoms started slowly; he had even been well enough to attend child care earlier that day. He was sent home early due to worsening respiratory distress and an episode of emesis. His parents do not think that he was febrile throughout his illness but note that he complained of left-sided chest pain for the past few months. This chest pain had never been evaluated, and the patient had never had any significant injuries. The pain is only present when he is being lifted, so his parents had been unconcerned about it until now. His parents believe that the pain has worsened in the past few days. Other than the chest pain and newly developed difficulty breathing, the patient has not experienced any other associated symptoms. He has not had any weight loss, decreased physical activity, night pain, or night sweats. At the urgent care center he is noted to have significant increased work of breathing. On auscultation his lungs have decreased breath sounds in the left middle and lower lung fields. Consequently, he is sent to the emergency department for imaging studies. Clinically, he is afebrile with a respiratory rate of 40 breaths/min, heart rate of 158 beats/min, blood pressure of 108/61 mm Hg, and oxygen saturation of 98% on room air. He is in significant respiratory … |
| Databáze: | OpenAIRE |
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