Dyspnoea and cough in a toddler

doi:10.1136/bmj.b4436

Published 11 November 2009, doi:10.1136/bmj.b4436
Cite this as: BMJ 2009;339:b4436

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Dyspnoea and cough in a toddler

Malcolm Brodlie, Medical Research Council/Cystic Fibrosis Trust clinical research fellow¹^,2, Michael C Mckean, consultant respiratory paediatrician¹

¹ Paediatric Respiratory Unit, Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, ² Institute of Cellular Medicine, Newcastle University, Medical School, Newcastle upon Tyne NE2 4HH

Correspondence to: Dr M Mckean michael.mckean@nuth.nhs.uk

The first 150 words of the full text of this article appear below.

A 15 month old girl presented to the accident and emergencydepartment with a three day history of increasing dyspnoea andcough. On examination, her pulse rate was 120 beats/min, respiratoryrate 50 breaths/min, temperature 37.4°C, and oxygen saturation96% in room air. Chest radiography was performed (fig 1). Pregnancyhad been unremarkable and she was born at term by normal vaginaldelivery. There were no concerns during the neonatal period,and she had been generally healthy before this episode. Herheight and weight were on the 50th centile and her developmentalage was appropriate.