Management plan for molly which involves observing ellen

Reference no: EM133721529

Question

You are asked to see a three-month-old baby who has been coughing. Baby Ellen is carried in by her mother, 26-year-old Molly. You gain eye-contact, smile at mother and baby and introduce yourself as part of the 'connecting' process. 1. What questions do you ask to obtain a history? 2. What examination do you carry out? Molly says that Ellen has been coughing for two days. She is still taking breast milk eagerly and has plenty of wet nappies. She has had a fever of 37.8 degrees centigrade, although today it has gone back to normal. She wakes once or twice in the night but this has not changed, and she is not excessively drowsy. From the history and examination you discuss the likely diagnosis of a viral respiratory infection that should resolve in a few days 3. What are the possible differential diagnoses? You explain that Ellen has probably got a mild viral respiratory infection and her symptoms should gradually resolve over the next few days. You summarise the negative findings from the history and physical assessment. You put forward a management plan for Molly which involves observing Ellen, encouraging fluids and treating any pyrexia should it arise.

Reference no: EM133721529

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