What is the most likely diagnosis and pathogen

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Reference no: EM133394950

Scenario: Jamie is a 1-year-old girl who is coughing and has had rhinorrhea with yellowish discharge for the past day. Her father says today he felt like she had a fever and has not been eating or playing; she has been mostly sleeping. Her 5-year-old sibling has had a cold for a week. 

Pertinent Information Provided:

  • Medications: none.
  • Allergies: no known drug allergies.
  • Vaccinations: up to date for age.
  • Social history: in day care; lives with mother, father, and 5-year-old sibling.
  • Physical examination: vital signs - temperature 101.5°F; pulse 120 beats per minute; respirations 34 per minute; blood pressure 100/60 mmHg; pulse oximeter 92%.
  • General: sitting in father's lap; ill, lethargic appearance, and coughing.
  • HEENT: nasal flaring, nasal mucus yellowish bilaterally; oropharynx with mild erythema.
  • Neck: small anterior and posterior cervical nodes.
  • CV: unremarkable.
  • Lungs: intercostal retractions, expiratory wheezing.
  • Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario

Question: What is the most likely diagnosis and pathogen causing this disorder,? Discuss the mode of transmission and discuss data that supports your decision.

Reference no: EM133394950

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