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Mr. J is babysitting his grandson Sammy, age 3 years, who ate his dinner and then said his tummy hurt. Mr. J suggested he lie down in the adjacent room while his parents finished dinner. A few minutes later, Mr. J heard Sammy vomiting. He rushed in to lift Sammy up. When vomiting ceased, he noticed Sammy continued to cough and seemed to be choking. He was struggling to breathe, and a wheezing sound was obvious. It appeared that he had aspirated some vomitus. Mr. J drove him to a nearby hospital for examination.
Problem 1: Discuss the specific effects of aspirating vomitus on Sammy, including the probable effects on his bronchi and lungs. Why might one lung be affected more than the other?
Problem 2: Discuss the pathophysiologic changes causing the signs and symptoms and any tests required to clarify the effects on Sammy.
Problem 3: Suggest some reasons for Sammy's difficulty breathing and wheezing.
Problem 4: Discuss the potential complications of aspiration of vomitus.
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