Diagnose it yourself – DIY – The Baby That Can’t Breathe

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A 5 month old baby presents to you in the emergency setting at the hospital, at the start of winter. You are the junior doctor on duty and first to see the patient.
They have had a cough and runny nose for 2-3 days, and no recorded fevers. Mum went to the GP two days ago who advised it was probably just the common cold.
Fairly suddenly yesterday afternoon the baby’s breathing became more laboured, and then seems to have been getting gradually worse since.
Baby has not been able to feed this morning.

Immunisations are up to date, baby was born at full term, and there is no significant past medical history.


What is the most likely Diagnosis?

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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) FRACGP currently works as a GP and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University, and is studying for a Masters of Sports Medicine at the University of Queensland. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

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