Which of the following is the most appropriate management for a 3-year-old child with fever and cough for 5 days following flu-like prodrome, decreased air entry and crackles over... Which of the following is the most appropriate management for a 3-year-old child with fever and cough for 5 days following flu-like prodrome, decreased air entry and crackles over right lung middle zone? A. Reassurance B. Bronchodilator and steroids C. Admit for intravenous antibiotics D. Discharge on amoxicillin for 7 days
Understand the Problem
The question describes a clinical scenario involving a 3-year-old child showing signs of respiratory distress following a flu-like illness. Based on the information provided about vital signs, lab results, and symptoms, the question asks for the most appropriate management option for this condition.
Answer
Admit for intravenous antibiotics.
The most appropriate management for a 3-year-old child with fever and cough for 5 days, decreased air entry, and crackles over the right lung middle zone is to admit for intravenous antibiotics.
Answer for screen readers
The most appropriate management for a 3-year-old child with fever and cough for 5 days, decreased air entry, and crackles over the right lung middle zone is to admit for intravenous antibiotics.
More Information
The child's symptoms suggest a possible bacterial pneumonia, where intravenous antibiotics are often required for effective treatment, especially in young children.
Tips
A common mistake is underestimating the severity of the symptoms and opting for milder treatments like oral antibiotics or reassurances. Always consider admission for severe respiratory infections with lung involvement.
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