09-05-2005, 10:31 AM
20 mounth old baby with fever and cough for 2 days. She has similar episodes since the age of 3 m. She and her family visited her grandmother in Finland for 2 weeks She is at 25 precentile for weight and 5 th percentile for high She appears thin and pale Her tem 38 C pulse is 150/min resp.44/min
examination show clubbing wheezing and bilateral cracklesbeest heard at the lung basesx ray film of the chest shouws streacky densites bilateraly with hyperinflation Diagnosis is
A alpha trypsin deficency
B CF
C Pneumothorax
d pulmonary alveolar proteinosis
D Aspergillosis
F TB
Please help with any suggestions because I thinking about option A since the hyperinflation are mostly on the bases of lung and the child has grandmother in Finland, CF has more predilection in upper zones but I am not sure Anyone can help
examination show clubbing wheezing and bilateral cracklesbeest heard at the lung basesx ray film of the chest shouws streacky densites bilateraly with hyperinflation Diagnosis is
A alpha trypsin deficency
B CF
C Pneumothorax
d pulmonary alveolar proteinosis
D Aspergillosis
F TB
Please help with any suggestions because I thinking about option A since the hyperinflation are mostly on the bases of lung and the child has grandmother in Finland, CF has more predilection in upper zones but I am not sure Anyone can help