Which of the following is the most likely diagnosis in the following case?
A 12-year-old girl has the acute onset of dyspnea and wheezing. She coughs up a large, thick mucus plug. She has experienced similar previous episodes for the past 7 years, all of which lasted 1 to 6 hours. On physical examination, her vital signs include T 37.1 C, P 109/minute, RR 27/minute, and BP 90/60 mm Hg. There are decreased breath sounds in all lung fields. A chest radiograph reveals hyperinflation but no infiltrates. Laboratory studies show WBC count of 8300/microliter with a differential count of 60 segs, 3 bands, 16 lymphs, 10 monos, and 11 eosinophils. A sputum sample examined microscopically has increased numbers of eosinophils.
A. Mycoplasma pneumonia infection B. Cystic fibrosis C. Hypersensitivity pneumonitis D. Bronchial asthma E. Aspiration of gastric contents
The answer to this is letter D. The child is showing signs of bronchial asthma. Bronchial asthma is more commonly known as asthma. This is a chronic disease that usually affects breathing. Those who have this condition usually feel a tightness in their chest and difficulty breathing.
The asthma attacks may also be associated with coughing, shortness of breath, and wheezing. It is important for people to get the treatment that they need immediately because this can be very uncomfortable. Some people were unable to breathe and have died because of it. Take note that asthma may sometimes be associated with other types of illnesses so this should be checked immediately.
Bronchial asthma -(d) correct. in an acute asthmatic episode, there can be an outpouring of mucus which, along with some dehydration, can lead to the formation of mucus plugs. the asthmatic episodes are usually initiated by a type i hypersensitivity reaction, typically with exposure to an allergen such as pollen from goldenrod or other flowering plant. up to 10% of children may be affected to some degree.(b) incorrect. with cystic fibrosis, there is bronchiectasis and multiple infections, so the sputum is often purulent.(c) incorrect. extrinsic allergic alveolitis is produced, which is mainly an interstitial process. extrinsic allergic alveolitis, or hypersensitivity pneumonitis, is acutely mediated by activation of complement from exposure to an allergen, but there is usually no eosinophila and the symptoms last longer than for asthma.