Tomran 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
coughing a lot, and Mrs. Tomran heard that RSV is a common condition for
infants. A detailed patient history reveals that the infant has been coughing
consistently for several months. It’s never seemed all that bad. Mrs. Tomran
thought it was just a normal thing, 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, Mrs. Tomran 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 history is
significant only for eczema that was actually quite bad a few months back.
Otherwise, the only remarkable history is an allergic reaction to amoxicillin
that she experienced 3 months ago when she had an ear infection.
Consider the respiratory disorder and underlying alteration associated
with the type of cough described.
questions part one:
two of the following factors: genetics, gender, ethnicity, age, or behavior and
reflect on how the factors you selected might impact the disorder.