PSYCH 2B03 Lecture Notes - Lecture 5: Sputum, Salbutamol, Immunodeficiency
13 Aug 2020
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Initial symptoms were sore throat, fever, headache, symmetrical non- pruritic rash on her arms and hands. Gp heard crackles at the time and prescribed clarithromycin. All other symptoms have resolved apart from cough: daytime, not waking her up, disrupting school and excluded from sport by parents, spasmodic unproductive cough that comes in bouts, which are occasionally severe enough to cause vomiting. Resp- no nasal symptoms: gp then trialled salbutamol but no success. General otherwise well and recently started her periods. Medications and allergies: clarithromycin for previous resp. infection, trial of salbutamol for proposed asthma. Her mother smokes but (cid:494)not around the children(cid:495) Post-infectious a (cid:494)pertussis (cid:523)whooping cough(cid:524)-like(cid:495) illness can continue for months following pertussis, adenovirus, mycoplasma and chlamydia. Habit: most likely cause and can continue for months after infection, acute hx typical of mycoplasma pneumonia infection. Chronic non-specific cough probably post-viral with increased cough receptor. Recurrent viral urtis very common in all age groups but more so in infants.
