Respiratory symptoms are a major reason why outpatients seek medical care, and primary care physicians who treat children frequently see pneumonia. This week’s photo essay tests your knowledge of respiratory problems in kids.
A 27-month-old girl presents for evaluation of hoarseness. Born at 27 weeks' gestation, she spent her first 4 months in the NICU. Available notes suggest family instability and information from the mother about the child has been inconsistent. The girl was admitted 6 months earlier through the ED and treated for a presumed asthma exacerbation and bronchiolitis. Does this radiograph suggest next steps?