N 553 Case Study Part 3:Mr. Smith brings his 4-year-old son to your primary care office.

Mr. Smith brings his 4-year-old son to the primary care office. The child presents with coughing, sneezing, mild cough, and a low-grade fever of about 100 three days ago. Vital signs are within normal limits. The child appears well hydrated, alert, and cooperative. Mildly erythema noted in the throat without exudate, bilateral tympanic membrane mildly pink as well, lungs are clear. The diagnosis for this child is acute upper respiratory tract infection (URTI), more than likely viral in nature. The child goes to a daycare facility exposing him to virus’, he has a low- grade fever that does not seem to be worsening and his symptoms appear to be stable and not progressing, as they would with a bacterial infection over time. The absence of exudate as well as adventitious lung sounds also support the diagnosis of acute viral infection. Both ears show mild pink tympanic membrane; respiratory viruses have been shown to account for 40%-70% of acute otitis media. URTI’s can be caused by several different viruses including parainfluenza, respiratory syncytial virus, rhinovirus, coronavirus, and adenovirus