Hello there. I'm a 1st-year medical student and was given this case study recently,in which I have to come up with a differential diagnosis. Can anyone help me out here,please? I am truly torn between these two options which I think are highly likely of this scenario.
~Angelica, a 12 year-old girl, was admitted to the hospital recently due to dyspnea and wheezing. She had coughed up a thick amount of mucus and according to her medical history, she has been having the same episodes for the past 7 years, with each occuring for 1-6 hours everytime.~
The issue here is, I don't really know if bronchial asthma attacks can go on for 7 years, being left untreated and what not. Shouldn't that fit the profile of cystic fibrosis which can possibly progress for a lifetime? Besides, thick mucus plugs are characteristic of cystic fibrosis more so than bronchial asthma? I am really confused.
Recurrent chest infections can be due to Asthma, COPD or Bronchiectasis. The other causes could be due to Bronchitis or Cystic fibrosis. COPD and bronchitis unlikely in children. Cystic fibrosis is a possibility. Non-cystic-fibrosis bronchiectasis in children is another possibility. Persistent Asthma uncontrolled can sometimes cause persistent cough. Only further investigations can help diagnose the cause.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.