Module 5: Discussion
Brian is a 7-year-old boy who presents to the primary care
office with his mother. His mom has noticed that Brian has been coughing
frequently and seems to have shortness of breath at times. She reports that
Brian had a “cold” with a low grade fever and runny nose about 2 weeks ago and
the symptoms seem to appear after the cold.
On physical examination, Brian appears in moderate
respiratory distress, with suprasternal and intercostal retractions. His vital
signs include a temperature of 100 A°F, a respiratory rate of 32 breaths per
minute, heart rate of 120 beats per minute, and pulse oximetry of 95% on room
air. Lung exam is notable for diffuse symmetrical expiratory wheezes. His nasal
mucosa is erythematous with boggy turbinates and clear mucus. The remainder of
the exam is unremarkable.
1. Based on this case, discuss the differences in the
pathophysiology for asthma vs
pneumonia. Include your thougths as to
the diagnosis for this case.
