Case Seven

History

KP is an 18-month-old female is brought into the ED by her mother because of shortness of breath of recent onset and that has gotten progressively worse over the past couple of hours. Her mother states that KP had been well up until two days, but since has had symptoms of a URI. Physical examination reveals a normal-appearing toddler who is moderate respiratory distress with intercostal and substernal retractions. Pulse is 122, respiratory rate 40, temperature 99o F, SpO2 (on room air) 95%. She has an occasional loose nonproductive cough.

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Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/9/2021

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
How to measure blood pressure using a manual monitor
Mayo Foundation for Medical Education and Research (MFMER)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
Manual Blood Pressure Measurement
Vital Sign Measurement Across the Lifespan