Case #10 - Respiratory Failure in a 7-Month-Old Black Female

Authors: Sabina Ali, MD; Rosa A Vidal, MD; Sheryl Falkos, MDSeries Editors: Rosa A Vidal, MD; Sheryl Falkos, MD


June 23, 2004

Physical Examination

Vital signs: Rectal temperature 98° F, pulse 180 beats/min, respiratory rate 36/min on the ventilator, blood pressure 108/54 mm Hg, SpO2 97% on 50% oxygen. Weight 4.68 kg (< 5th percentile), length 65 cm (10th percentile), head circumference 39.5 cm (< 5th percentile).

Infant appeared undernourished, with decreased subcutaneous tissue and muscle mass.

Cardiorespiratory: Heart - regular rate and rhythm, without murmurs or gallops; Chest - bilateral breath sounds and scattered crackles.

Abdomen: Soft, nondistended, with a liver edge palpable 4 cm below the right costal margin.

Extremities: Cool with good pulses; no edema or rashes.


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