A 5-year male baby came in paediatrics OPD with a complaint of cough since 3 days and difficulties in breathing since 1day. No history of fever, pain in abdomen or bleeding. Past history: had a similar episode of problem 1 month back, was admitted to another hospital for 4 days. Family history: His grandfather was asthmatic, taking medicine from local doctors.
Drug history: no any documents was available. O/E- Consciousness+, sensorium normal Anxious, pale looking, difficulties in speech use of accessory muscle+ no cyanosis, no clubbing, no icterus Chest- B/L- crespts ++ Wheeze +++( both expiratory and inspiratory) Intercostal +subcostal retraction retraction ++ CVS-s1+s2- normal audible CNS- normal P/A- soft, liver and spleen not palpable H/R- 110/min. R/R- 40/min. CRT-<3 sec Sa02-<90% BP-110/70mmHg The child was admitted in PICU, given IV/antibiotics,IVF (2/3rd of calculated),O2…
