Immune System


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P15_F2.jpg"}},{"insert":"\n\n"},{"insert":"Sunlight floods in through your hospital\u0027s windows. It is a bright Monday morning, and you feel full of energy, after a wonderful trip over the weekend.\n\nJust a matter of seconds after stepping into the otolaryngology ward, you are paged over the emergency department (ED). There, you are introduced to six-year-old Sarah and her parents.\n\nSince last night, Sarah has been irritable and refusing to eat. Since waking up today, she can barely speak, sounds husky, and drools significantly. She also has a high fever.\n\nHer medical history is unremarkable, she has no history of allergies, and all vaccinations are up-to-date.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P15_F4.jpg"}},{"insert":"\n\n"},{"insert":"Sarah\u0027s vital signs are as follows:\n\nTemperature: 102.2 \u02daF (39 \u02daC) \nBP: 100\/60 mmHg \nPulse: 116 bpm, regular \nRR: 22 cycles\/min \nSaO2: 91%, on room air\n\nOn examination, she looks ill, and is visibly dyspneic, with inspiratory stridor. She insists on staying upright and keeps her tongue out. Multiple small non-tender lymph nodes are palpable on both sides of her neck.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P15_F3.jpg"}},{"insert":"\n\n"},{"insert":"What is your clinical diagnosis?\n"}]}
1. Croup
2. Epiglottitis