History An 8-month-old girl presented to the emergency room in respiratory distress associated with wheezing and a temperature of 38.8 C. She had been ill for 2-3 days with a"cold and have awoken that morning with tachypnea, cough, and wheezing. She had had a similar episode about 2 months before. In addition, she had a chronic pruritic rash on the face, trunk, and extremeties for 2 months which improved when treated with cortisone-type cream Her nose was always "running" according to the mother. She had been a very colicky baby for the first 6 months, but not "bothered by milk at present. A 10-year-old brother hadhad a similar history in infancy, but had"outgrown? these problemS, having only occasional hay fever now
History An 8-month-old girl presented to the emergency room in respiratory distress associated with wheezing and a temperature of 38.8°C. She had been ill for 2-3 days with a “cold and have awoken that morning with tachypnea, cough, and wheezing.She had had a similar episode about 2 months before. In addition, she had a chronic pruritic rash on the face, trunk, and extremeties for 2 months which improved when treated with cortisone-type cream. Her nose was always “running” according to the mother. She had been a very colicky baby for the first 6 months, but not “bothered” by milk at present. A 10-year-old brother had had a similar history in infancy, but had “outgrown” these problems, having only occasional hay fever now
Physical Examination The infant was tachypneic, coughing and crying with slight duskiness of the lips. Nasal exam showed swollen red nasal turbinates. There was increased anterior-posterior diameter of the chest with marked retractions. On auscultation the air exchange was good with rhonchi and diffuse wheezes heard throughout both lung fields. An eczematous type rash was noted on the face, trunk, and extremities. The child was given an adrenalin shot with only slight improvement. She was therefore admitted to the ward
Physical Examination The infant was tachypneic, coughing and crying with slight duskiness of the lips. Nasal exam showed swollen, red nasal turbinates.There was increased anterior-posterior diameter of the chest with marked retractions. On auscultation the air exchange was good with rhonchi and diffuse wheezes heard throughout both lung fields. An eczematous type rash was noted on the face,trunk, and extremities. The child was given an adrenalin shot with only slight improvement. She was, therefore, admitted to the ward