What is the most likely diagnosis for this patient

Reference no: EM133656507

Landon Brown is a 9 month old male infant who presents with his mother, Ann to the after hours pediatric clinic. Ann reports that Landon has had a runny nose for several days, but it has worsened today. He has not had any fever, although he has "felt warm." He has had trouble clearing his nose of mucous and Ann does not like suctioning his nose so she does it only when it is excessive. She has been giving Landon acetaminophen and ibuprofen for the subjective fever.

Personal/Social History: Landon was a full-term infant, born at 38 weeks. His birth weight was 6 lbs 2 oz (2.78 kg), and length was 19 inches (47.5 cm). He was delivered vaginally, transitioned in the hospital and discharged at 24 hours of age. He has been a "healthy baby" per Ann. She does, however, report 3 ear infections with the first one occurring when Landon was 4 months of age. He has frequent runny nose.

He is up to date on immunizations.

Weight today: 18.0 lbs (8.164 kg)

Ann is a single mother of 3 children, aged 9 months (Landon), 4 years (female), and 6 years (female). Ann smokes 1 ppd. The family is on Supplemental Nutrition Assistance Program (SNAP) and Housing and Urban Development (HUD) assistance. Landon is on Women, Infants, and Children (WIC).

Vitals: 101.2, P 130, R 66, BP 105/72, O2: 94% wt: 8.2 kg

1. What additional labs and diagnostics would you order for this patient?

2. What is the most likely diagnosis for this patient?

3. What medications would you offer this patient?

4. What home care instructions would you provide the family?

5. When would you follow up with this patient?

Reference no: EM133656507

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