•An 11-months-old presents with a 2-day history of low-grade fever and cough. Today her family noted she was having difficulty breathing and not feeding well. She has a history of having aa febrile illness with wheezing when she was 6-months old. No other known PMH.

• Her vital signs are temperature of 38.5C, HR 150, RR 60, BP 85/p Pulse oximetry of 93%. She has mild intercostal retractions. On auscultation, you here diffuse expiratory wheezing. You most likely diagnosis for this child is

A previously healthy 13 year old male presents to the ER with fever, cough and shortness of breath.His chest xray film as shown below.what is the cxr finding?

•A father brings his 4 year old son into the emergency department. Adam is noticeably distressed and has been having difficulty breathing for the past 2 hours.

•Adam is noticeably distressed and has been having difficulty breathing for the last 2 hours. Adam has a history of asthma but his father states that other mild episodes cleared on their own without medication. This time, Adam’s father gave 8 puffs from the “red puffer” with no symptom relief. He shows you the corticosteroid puffer. You inquire about whether Adam has a short-acting beta-agonist “blue rescue puffer,” but the father says Adam has never been prescribed one.

What is the first step in this situation?

10 months old infant

• Immunization up to age

• RN since 2 days ago,then developed barking cough with noisy breathing  the next day.

• No fever

• Still active but slight reduced in feeding