A 7-year-old presents with a persistent cough lasting 3 week…

A 7-year-old presents with a persistent cough lasting 3 weeks. Parents describe sudden, repeated coughing fits followed by a high-pitched inspiratory “whoop.” The child often vomits after these coughing spells but has no fever. Which diagnosis is most likely?

The PNP evaluates a child who awoke with a sore throat and a…

The PNP evaluates a child who awoke with a sore throat and a high fever after a nap. The child appears toxic and is sitting on the parents lap with the neck hyperextended. The physical exam reveals stridor, drooling, nasal flaring and retractions.  What will the NP do next? 

Shelby, is a 4 week old, and presents to your office in mid…

Shelby, is a 4 week old, and presents to your office in mid January with a one week history of nasal congestion and occasional cough.  On the evening prior to this visit Shelby developed a temperature of 102F, refused to breast feed; had paroxysmal coughing and noisy labored breathing.  On exam, you note  an ill appearing infant who is lethargic with tachypnea and intercostal retractions.  Shelby does not attend daycare but has a 3 year old sibling who is in day care and who recently had a “cold”.  Considering the clinical presentation, what is the most likely cause of Shelby’s illness?