You are seeing a 3 month old  girl that is here for the thir…

You are seeing a 3 month old  girl that is here for the third time related to loud breathing.  The mom reports loud, noisy breathing all day long although it does get better when she is asleep. It has been going on since she was two weeks old.  Occasionally, she will have a high pitched cough and what seems like a wheeze.  No fever, no retractions,  O2 sat 99%, lungs are clear to auscultation today.  You can hear the child breathing from outside the room.  What do you think the likely diagnosis is?

A 4 week old for a one month well child check for an infant…

A 4 week old for a one month well child check for an infant who has not had any abnormal findings in the past.  The mom reports that when the baby gets cold, her hands and mouth have a bluish color.  exam has no new findings and infant remains in the 40th percentile for weight and is at appropriate milestones.  What is your diagnosis?