|infant’s medical story is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable story is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection. Scenario 2: Kevin is a 6-year-old boy who is brought in for evaluation by s parents. The parents|
Consider the following three scenarios: Scenario 1: Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be cougng a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient story reveals that the infant has been cougng consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal tng, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical story is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable story is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection. Scenario 2: Kevin is a 6-year-old boy who is brought in for evaluation by s parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The story reveals that he was in s usual state of good health until approximately 1 week ago when he developed a profound cough. s parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but notng really gh. s parents do not have a thermometer and don’t know for sure how gh it got. s past medical story is negative. He has never had cldhood asthma or RSV. s mother says that they moved around a lot in s first 2 years and she is not sure that s immunizations are up to date. She does not have a current vaccination record. Scenario 3: Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical story. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rnorrhea or rnitis—the primary problem is the cough. She develops these cougng fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves. a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.