A 1-year-old child is brought to the clinic with a high fever, cough and respiratory distress for 3 days. On auscultation of the chest, there are generalised fine crackles. Chest X... A 1-year-old child is brought to the clinic with a high fever, cough and respiratory distress for 3 days. On auscultation of the chest, there are generalised fine crackles. Chest X-ray: Showed puffy infiltrates with ill-defined margins throughout both lung fields. Which of the following is the most likely diagnosis? A. Bronchopneumonia B. Acute epiglottitis C. Bronchiectasis D. Bronchiolitis
Understand the Problem
The question describes a 1-year-old child presenting with symptoms such as high fever, cough, respiratory distress, and specific findings on chest auscultation and X-ray. We need to determine the most likely diagnosis from the given options.
Answer
Bronchiolitis
The most likely diagnosis is Bronchiolitis. The symptoms of high fever, cough, respiratory distress, fine crackles on auscultation, and puffy infiltrates on chest X-ray in a 1-year-old child are consistent with bronchiolitis.
Answer for screen readers
The most likely diagnosis is Bronchiolitis. The symptoms of high fever, cough, respiratory distress, fine crackles on auscultation, and puffy infiltrates on chest X-ray in a 1-year-old child are consistent with bronchiolitis.
More Information
Bronchiolitis is a common respiratory infection that affects the small airways (bronchioles) of the lungs, especially in young children and infants. It is most often caused by a viral infection, with respiratory syncytial virus (RSV) being the most common culprit.
Tips
It's a common mistake to confuse bronchiolitis with other respiratory infections like pneumonia. Remembering that bronchiolitis primarily affects the small airways and is most common in young children can help differentiate it.
Sources
- Cough or difficulty in breathing - Pocket Book of Hospital ... - NCBI - ncbi.nlm.nih.gov
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