Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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The
problem once again: Julie's cough.
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It certainly looks like Julie
is not the victim of child abuse.
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We can, it seems, forego calling
Welfare.
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She was brought in because of
a cough and low grade fever.
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Her CBC is not diagnostic of
an infectious process.
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Yes, she does have a few atypical
lymphocytes, but this isn't necessarily diagnostic of a viral illness.
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Her eosinophil
count, however, suggests an allergic problem.
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The presence of wheezes reinforces
this assumption.
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There seems no need for antibiotics.
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We can treat her symptoms.
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She can continue with day care.
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There seems no reason for the
parents to return.
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Allergen testing would be a
good idea.
Yet another case solved.
Let's
sum it up.
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