Pediatric Pulmonary Pearls

Patient 1A 10-year-old boy with a 5-year history of progressive wheezing, cough, and dyspnea Patient 2A 3.5-year-old boy with acute wheezing, cough, and dyspnea Patient 3A 9-month-old girl with cough, wheezing, and regurgitation of milk feedings Patient 4A 14-year-old boy with acute sharp right-sided chest pain and dyspnea Patient 5A 5-year-old girl with tachypnea, fatigue, anemia, and hypoxemia Patient 6An 11-year-old boy with a history of prolonged respiratory tract infections, a 3-month history of dry cough, and neonatal liver disease Patient 7A 5-month-old boy with expiratory wheezing, recent pneumonia, and a persistent left upper lobe opacity Patient 8A 16-year-old boy with recurrent bronchitis, progressive muscle weakness, and scoliosis Patient 9A 16-month-old boy with acute onset of coughing, choking, and "grabbing at his throat" Patient 10A 4-year-old obese girl with wheezing, exercise-induced fatigue, and snoring Patient 11A 5-year-old boy with fever, cough, wheezing, bilateral multilobar opacities, and decreased hemoglobin Patient 12A 7-day-old girl with dysmorphic features, polydactyly, tachypnea, and a small, misshapen thorax Patient 13A 13-year-old girl with metabolic acidosis and bilateral interstitial densities Patient 14A 7.5-year-old boy with cardiorespiratory arrest, hypothermia, and coma Patient 15A 16-year-old boy with cough, chest pain, epistaxis, and weight loss Patient 16A 4-month-old girl with paroxysmal cough, choking, and "turning blue" Patient 17A 19-year-old girl with dyspnea, cough, and chest pain while taking appetite suppressants Patient 18A 3-year-old boy with cough, wheezing, and dyspnea following ingestion of popcorn Patient 19A 7-month-old girl with paradoxical breathing, poor weight gain, and hypotonia Patient 20A 15-year-old girl with scoliosis, wheezing, and exercise intolerance Patient 21An 11-month-old girl with wheezing, wet-sounding cough, and loose stools Patient 22A 2-month-old girl with poor feeding, hypotonia, constipation, and acute respiratory failure Patient 23A 12-year-old boy with oxygen desaturation, chest discomfort, and low hemoglobin Patient 24A 14-year-old girl with a calcified granuloma in the left upper lobe Patient 25A 15-year-old girl with a 2-year history of exercise-induced dyspnea Patient 26A 7-month-old girl with cough, wheezing, and thick airway secretions Patient 27An 8.5-year-old girl with cough, hypoxemia, and systemic lupus erythematosus Patient 28A 5-month-old boy with noisy breathing since birth Patient 29A 5-day-old boy with apnea, emesis, and hypothermia Patient 30A 2.5-month-old girl with cyanosis, apnea, cough, and hypotonia Patient 31A 15-year-old girl with dyspnea, intermittent wheezing, and scoliosis Patient 32A 15-year-old girl with abdominal pain, emesis, and respiratory failure Patient 33A 5.5-year-old girl with a positive tuberculin skin test reaction and elevated liver enzymes Patient 34A 3-year-old girl with recurrent aspiration pneumonia, wheezing, and dysphagia Patient 35An 8-year-old boy with right-sided pneumonia and pleural effusion Patient 36A 16-year-old boy with frequent respiratory infections, chronic sinusitis, and severe wheezing Patient 37An 11-month-old girl with chronic cough, slow weight gain, and gastroesophageal reflux Patient 38A 4-month-old boy with cough, intercostal retractions, hypoxemia, and hypotonia Patient 39A 10-month-old boy with intermittent wheezing and right upper lobe hyperlucency Patient 40A 10-year-old boy with cachexia, difficulty swallowing food, and hypotonia Patient 41A 6-year-old boy with fever, bibasilar pneumonia, and a hemoglobinopathy Patient 42A 2.5-year-old boy with rhinitis, cough, wheezing, and right middle lobe pneumonia Patient 43A 13-year-old boy with viscous airway secretions, recurrent aspiration pneumonia, atelectasis, and cerebral palsy Patient 44A 6-month-old girl with wheezing and a right mid-lung density Patient 45A 10-month-old boy with a 4-week history of intermittent wheezing and an abnormal chest radiograph Patient 46A 12.5-year-old boy with dyspnea associated with exercise Patient 47A 3.5-month-old girl with hypoxemia and interstitial lung disease Patient 48A 6-month-old girl with pneumonia, persistent monilial infection, and eczema Patient 49An 11.5-year-old boy with cough, wheezing, and slow weight gain Patient 50A 22-month-old girl with a positive tuberculin skin test Patient 51A 3.5-year-old boy with fever, sore throat, cough, and dyspnea Patient 52A 4-year-old boy with tachypnea, hypoxemia, and cardiomegaly Patient 53A 10-month-old boy with cough, wheezing, and Down syndrome Patient 54An 11-month-old boy with recurrent fever and crackles Patient 55A 14-year-old girl with multiple episodes of pneumonia Patient 56A 1-day-old girl with a scaphoid abdomen and respiratory distress Patient 57A 16-year-old boy with a positive tuberculin skin test reaction, hilar adenopathy, and a left upper lobe density Patient 58A 17-year-old boy with a gunshot wound to the spinal cord Patient 59A 19-month-old boy with lamp oil ingestion, failure to thrive, and stridor Patient 60A 7-month-old boy with respiratory, hepatic, and renal failure Patient 61A 13.5-year-old boy with progressive muscle weakness and dyspnea Patient 62A 10-year-old boy with digital cold sensitivity and interstitial lung disease