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PRESENTING FELLOW

Giuseppe Ficara, Pediatric Pulmonology Fellow
Montreal Children's Hospital
McGill University Health Centre, Montreal, Canada

REASON FOR REFERRAL

A 14 month old previously well male who presented to the emergency department with 6 days of cough, and two days of fever and irritability. He had some post-tussive vomiting, and occasional regurgitation following feeds. He was not drinking well in the last two days.


CASE PRESENTATION

He was born at term, and weighed 3685 grams. He had thrush at two months of age, and bronchiolitis with otitis media at six months. The family history is remarkable for asthma in a paternal aunt and grandmother. Nutritional and developmental histories are normal and his vaccinations are up to date. He is on no medications and has no known allergies.

PHYSICAL EXAM: T° 38.2, RR 52, HR 160, BP normal. O2 sat 96% on room air.

He was dehydrated, and lethargic. He was indrawing, and had decreased air entry to the left lower lobe area with inspiratory crackles.

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