Department of Pediatrics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Pediatr. 2011 May;78(5):603-8. doi: 10.1007/s12098-010-0270-3. Epub 2010 Dec 14.
In this section, the authors present some common and some uncommon respiratory cases that have diagnostic and/or therapeutic challenges. First case is of an eight- yr- old child having Acute onset Wheeze and fever, second one is of a 1.5- yr- old Wheezing child not responding to inhaled bronchodilators and corticosteroids, third of a 4-yr- old with Respiratory distress and wheezing with underlying ventricular septal defect, and fourth of a 5-yr- old with fever for 1 month, epistaxis from right nostril for 15 days, polyuria for 10 days, impaired consciousness and discoloration of right orbit. Each one had some unique pointers to correct diagnosis and management. The authors share clinical learning points from these cases with a concise review of the topic.
在本节中,作者呈现了一些常见和不常见的具有诊断和/或治疗挑战的呼吸病例。第一个病例是一个 8 岁的孩子,出现急性喘息和发热;第二个病例是一个 1.5 岁的喘息儿童,对吸入性支气管扩张剂和皮质类固醇无反应;第三个病例是一个 4 岁的孩子,患有呼吸窘迫和喘息,伴有室间隔缺损;第四个病例是一个 5 岁的孩子,发热 1 个月,右侧鼻腔鼻出血 15 天,多尿 10 天,意识障碍和右侧眼眶变色。每个病例都有一些独特的线索可以帮助做出正确的诊断和治疗。作者分享了从这些病例中获得的临床学习要点,并对该主题进行了简明的回顾。