After reviewing the Medical Report, answer the questions that follow: REASON FOR

Question

After reviewing the Medical Report, answer the questions that follow:

REASON FOR ADMISSION:
This is one of several admissions for this 27 month old male with asthma since birth, according to the parents. He has had multiple hospitalizations for asthma. He has previously not been ventilated. He was well until yesterday when he developed cough and increased work of breathing. He was treated with aerosolized beta agonists at home, He was taken to our medical facility today where he was quite tight. He initially received two Albuterol aerosols and then went to X-ray. He came back again quite tight and received a total of five Albuterol aerosols with some improvement. He received 40 mg of prednisone orally in the Emergency Room. There is a family history on the mother's side for asthma. There is no other significant family history.

Justin's previous medical history is unremarkable except for his asthma. His usual medications are Intal and Albuterol with Pulmo-Aid.
PHYSICAL EXAMINATION:
General: He is a well developed, well nourished male in moderate respiratory distress.
HEENT: Tympanic membranes unremarkable. Eyes, nose, mouth and throat unremarkable.
Neck: Without masses. Supple.
Lungs: Breath sounds clear bilaterally with somewhat decreased air exchange and diffuse expiratory wheezes. Work of breathing is mildly to moderately increased.
Abdomen: Soft and non tender without organomegaly or mass.
GU: Normal male
Extremities: Unremarkable
Neurologic: He is alert and appropriate. Cranial nerves intact. Reflexes 2+ and symmetrical

ASSESSMENT: Two year old male with asthma, moderately severe.

PLAN: I will treat him with IV SoluMedrol and IV Cefuroxime and aerosolized Albuterol and Tornulate. Consider continuous Albuterol if he does not improve with intermittent aerosol.

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QUESTIONS:

1. Were the patient's lungs congested?
2. What contributory factors might be significant for this child's illness?
3. How long has this child has a history of asthma?
4. What type of lung sounds were auscultated upon examination?

Explanation / Answer

1. Yes, the patients lungs are congested. Asthma is a reversible obsrtuction of airflow in the airways. The patients suffer from breathing out than breathing in. In this case, it is reported that the patient administered with tightness in his chest.

2. The child might have inherited asthma from his mother.

3. The 27 months child is suffering from asthma since his birth.

4. Lung sounds are observed with clear wheezing and increased work of breathing.

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