Case Scenario 3

Anushya, a 7-month-old girl presented with chronic wet cough for 2 months
- Worsening chesty cough past 3 days
- Associated with high grade fever
- Rapid breathing and chest indrawing for 1 month
 

 
Birth history

Birth history

Birth history

     
  • Born full term via SVD, birth weight: 2.75 kg
  • Meconium plug syndrome: She presented with delay in passing meconium

Birth history

Milk bottle

Dietary history

Milk bottle
  • Reduced milk intake for the past 1 month
  • Feeding time interrupted by rapid breathing and cough, with excessive sweating
  • Poor weight gain: 5kg at 7 months of age
  • Bowel opening 4 - 5 times/day, formed stool. Stool is oily* and difficult to clean.
  • Steatorrhoea: Oil in stool. Often difficult to clean and foul smelling; can be formed or loose stool

Dietary history

Family history

Family history

Family history


     
  • No family history of lung disease

Family history

Developmental history

Developmental history

Developmental history



     
  • Appropriate for 7-month-old

Developmental history