A five year old presents with high temperature (> 101), oxygen saturation of 78%, and breathing that is labored. His breathing could be heard throughout the ER. The mother states he has had a cold with some mucus in his lungs but has had few problems. The family has been sick with colds. The physical history of this patient shows a well-nourished, functioning child with no history of pulmonary issues. He has had some allergies that have been controlled with over the counter antihistamines. The child appears scared and mom is very worried.
Airway resistace is the resistance toflow of air caused by friction with the air ways which includes the conducting zone for air,such as trache bronchi or bronchioles,The main determinants of airway resistance are the size of the airway andproperties of air flow of air it self.as per signs and symptoms the difrential diagnosis may be chronic obstructive pulmonary disease,asthma,pulmonary edema,bronchiectasis. this child oxygn saturation is 78%.this family members were suffered from cold and he was the history of allergy. other chance for decresed saturation with fever is ARDS it may occur those who will suffer from shortage of breath and decreased oxygen saturation it may affect with cold,management for this conditon medications are broncho dialators and oxygen support.CPAP.fluid management also may needed.
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