Case Five

History

CJ is a 4-year-old female who was brought into the outpatient clinic by her parents because of shortness of breath, cough, and fever that has gotten progressively worse over the past two days. The parents state that she has a history of URI and has shown similar symptoms for the past four days. Physical examination reveals a normal appearing pre-schooler who is in moderate respiratory distress. Pulse is 116, respiratory rate 38, temperature 103.4o F, SpO2 (on room air) 92%. 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