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A 3 year old male child presents to the Emergency Department with respiratory distress. The child is on a monitor as displayed. 

HPI:

The child presents with a sudden onset of shortness of breath, cough and rash. The child is allergic to peanuts and nuts and has had previous episodes of respiratory distress. There are no known sick contacts.

PMx:

The child is unimmunized. There is a family history of asthma. The child is following a normal growth curve. There is no history of eczema.

O/E:

The child is in marked respiratory distress with audible expiratory wheeze. The child voice is hoarse.

 

What is the most likely diagnosis?

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Authors

Mike Paget

mkpaget@ucalgary.ca

Manager - Academic Technologies - Cumming School of Medicine

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Reviewer

Dr. Hosanna Au