Transcript of acute respiratory infection
- 1. ACUTE RESPIRATORY TRACT INFECTIONS IMNCI Protocol (WHO)
(Integrated Management Of Neonatal and Childhood Illnesses) Prep
& Presented by Dr. Zujaja Baloch Instructed by Lt Col Jawad
Jalil
- 2. History Name: XYZ (Male) Age: 15 months Address: Gujranwala
DOA: 10 dec 2014 DOD: 14 dec 2014 Source: OPD
- 3. History (Cont) Presenting compliants: Rhinorrhea 7 days
Cough 6 days Fever 4 days Breathing Difficulty 2 days
- 4. History (Cont) Birth History : Antenatal History: Booked
Case. Natal History: FTP & SVD, delivered in Hospital. Post
Natal: Cried after birth, no jaundice or cyanosis Feeding History :
Exclusively Breast fed for 6 months & weaning started.
Vaccination History : Vaccinated according to EPI Schedule
- 5. History (Cont) Developmental History: Gross Motor, Fine
Motor & Social Development was fine Family History: Non
consangious marriage. No history of asthma, epilepsy, TB or
congenital heart diseases. Socioeconomic history : Middle class
family.
- 6. Examination General physical examination : Apprehensive,
Irritable Mildly dehydrated Nasal flaring Weight 10 kg Vital Signs
: Pulse : 150 / min Respiratory Rate 64 / min Temperature 102F
- 7. Systemic examination Respiratory system examination : R/R:
64 / min Chest in drawing Nasal flaring Recessions CVS examination
GIT examination Normal CNS examination
- 8. Investigation Complete Blood Picture: Hb 11.4 g/dl TLC 7 10
/ L Chest X Ray : Normal findings 9
- 9. DIAGNOSIS Acute Respiratory Tract Infection
(Bronchiolitis)
- 10. Treatment Anti pyretic : Paracetamol 5 ml(SOS)
Nebulization: Ipratropium (Atem) 6 hourly. Discharged on 3rd
day
- 11. Case discussion
- 12. Epidemiology Each year, acute respiratory infections cause
approximately 2-3 million deaths among children